Individual
MS. KASHIRA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RA
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-4769
Mailing address
7829 S SAGINAW AVE, CHICAGO, IL 60649-5221
(301) 877-4769
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
K0000016
MD
Other
Enumeration date
10/06/2025
Last updated
10/24/2025
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