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Organization

YOUR WEIGH WELLNESS CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOREN KIDD APRN (OWNER)
(606) 899-2273
Entity
Organization

Contact information

Practice address
9405 US HIGHWAY 23 S STE 1, STANVILLE, KY 41659-9048
(606) 899-2273
(606) 202-7252
Mailing address
9405 US HIGHWAY 23 S STE 1, STANVILLE, KY 41659-9048
(606) 899-2273
(606) 202-7252

Taxonomy

Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
03/21/2019
Last updated
03/21/2019
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