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Individual

DR. JOSEPH HARRISON KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2145 MOUNT PLEASANT BLVD SE, ROANOKE, VA 24014-3632
(540) 427-9200
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206124
VA

Other

Enumeration date
04/09/2017
Last updated
07/14/2021
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