Individual
DR. MATTHEW CODY KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
5363 DAVENPORT LN, DUBLIN, OH 43016-7809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6206
OH
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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