Individual
AMPARO EMILIA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
14121 PARKE LONG COURT, SUITE 201, CHANTILLY, VA 20151
(571) 364-7110
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.18174-NP
OH
Other
Enumeration date
10/07/2015
Last updated
08/24/2021
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