Individual
DR. BETSY KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9709 SILVERDALE WAY NW, SILVERDALE, WA 98383-9445
(775) 336-8371
Mailing address
2966 SPRAGUE ST, PORT ORCHARD, WA 98366-4932
(775) 336-8371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60278534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60278534
WASHINGTON STATE LICENSE NUMBER
WA
Enumeration date
07/19/2012
Last updated
07/19/2012
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