Individual
DR. KIMBERLY K KIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
402 N. PLUM ST., PONTIAC, IL 61764-9786
(815) 844-4631
(815) 844-1942
Mailing address
402 N PLUM ST, PONTIAC, IL 61764-1817
(815) 844-4631
(815) 844-1942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008659
IL
Other
Enumeration date
10/18/2006
Last updated
10/12/2012
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