Individual
MRS. AMANDA KAY KIDDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN
Contact information
Practice address
1207 W STATE ST STE M, ALLIANCE, OH 44601-4686
(330) 821-8407
(330) 821-8506
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.026067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385467
—
OH
Enumeration date
12/11/2019
Last updated
05/05/2025
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