Individual
MRS. RANDI LYNN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CES
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(757) 810-0517
Mailing address
19612 PLUMSIDE LN, WEST POINT, VA 23181-9468
(757) 810-0517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001276
VA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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