Individual
KATHERINE KIDDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 725-1288
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024180958
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
660518
CA
367500000X
Certified Registered Nurse Anesthetist
95000299
CA
Other
Enumeration date
12/15/2014
Last updated
06/13/2025
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