Individual
MRS. LISA LYNN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTHCARE PROVIDER
Contact information
Practice address
110 VALENTINE CT, MARTINSVILLE, VA 24112-0731
(276) 790-7253
(276) 790-7253
Mailing address
110 VALENTINE CT, MARTINSVILLE, VA 24112-0731
(276) 790-7253
(276) 790-7253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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