Individual
CHRISTIAN L KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER CARE CO
Contact information
Practice address
1802 HWY 82 WEST, CROSSETT, AR 71635
(870) 364-7248
(870) 364-2249
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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