Individual
MICHAEL ARTHUR KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-6502
Mailing address
4570 GREEN VALLEY DR, HIGH RIDGE, MO 63049-2626
(636) 677-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28818
MO
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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