Individual
BROOKE RENEE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WORMAN DR, UNION, OH 45322-3239
(419) 296-3944
Mailing address
105 WORMAN DR, UNION, OH 45322-3239
(419) 296-3944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
07/02/2016
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