Individual
MRS. CAROLINE MCKIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2331 PINEHURST AVE, CHESTERTON, IN 46304-9134
(312) 213-5256
Mailing address
2331 PINEHURST AVE, CHESTERTON, IN 46304-9134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002064A
IN
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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