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Individual

DR. LESLIE S KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1705 AMHERST ST STE 203, WINCHESTER, VA 22601-3346
(540) 662-0711
(540) 722-3269
Mailing address
1705 AMHERST ST STE 203, WINCHESTER, VA 22601-3346
(540) 662-0711
(540) 722-3269

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101057711
VA
207VX0000X
Obstetrics Physician
0101057711
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006212531
VA
Enumeration date
08/15/2006
Last updated
02/23/2021
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