Individual
DEBRA RENEE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3901 MCCAIN PARK DR, NORTH LITTLE ROCK, AR 72116-7849
(501) 916-9693
(501) 916-9804
Mailing address
1700 MANDY CV, JACKSONVILLE, AR 72076-2100
(501) 607-4870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R031850
AR
Other
Enumeration date
09/13/2012
Last updated
06/28/2022
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