Individual
ANNE E KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-5751
(701) 364-5750
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7428
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108117
MEDICA-FGO #
ND
01
—
0117889
MEDICA NP #
ND
05
—
031018200
—
ND
05
—
10706
—
ND
01
—
15999
NDBS FGO #
ND
01
—
58D27KI
MNBS-FGO #
ND
01
—
58D29KI
MNBS-NP #
ND
01
—
822783
ARAZ #
ND
01
—
DA9011026974
PREF 1 #
ND
01
—
HP38246
HEALTHPARTNERS #
ND
Enumeration date
06/22/2006
Last updated
04/16/2012
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