Individual
JENNIFER KIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 GRANVILLE DR, SYLVANIA, OH 43560-1147
(419) 490-8111
Mailing address
5820 GRANVILLE DR, SYLVANIA, OH 43560-1147
(419) 490-8111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0029622
OH
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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