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Individual

KATRINA M KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0000
Mailing address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1040897
MN
235Z00000X
Speech-Language Pathologist
Primary
TSLP7287
AZ

Other

Enumeration date
06/21/2011
Last updated
03/16/2026
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