Individual
EMILY JEAN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LAT, ATC
Contact information
Practice address
2300 DOSWELL AVE, SAINT PAUL, MN 55108-1636
(651) 262-3227
Mailing address
2300 DOSWELL AVE, SAINT PAUL, MN 55108-1636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2675
NC
Other
Enumeration date
06/03/2013
Last updated
05/10/2017
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