Individual
CRYSTAL KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Mailing address
3012 TURMAN DR, JONESBORO, AR 72404-8998
(870) 819-0200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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