Individual
KATHLEEN H KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(314) 989-3000
Mailing address
13523 BARRETT PARKWAY DR, SUITE 210, BALLWIN, MO 63021-3802
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113717
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913876660
—
MO
01
—
P00272278
RR MEDICARE
MO
Enumeration date
11/16/2005
Last updated
05/09/2008
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