Individual
MS. DENISE KING KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, APRN, MSN/ED
Contact information
Practice address
6140 E COLUMBIA ST, EVANSVILLE, IN 47715-9133
(812) 475-1948
(812) 401-1267
Mailing address
6140 E COLUMBIA ST, EVANSVILLE, IN 47715-9133
(812) 475-1948
(812) 401-1267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006308A
IN
363LF0000X
Family Nurse Practitioner
736145
TX
Other
Enumeration date
05/19/2015
Last updated
09/22/2016
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