Individual
JOSHUA W KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 BAKER LN, CHARLESTON, WV 25302-2900
(304) 720-2742
Mailing address
300 BAKER LN, CHARLESTON, WV 25302-2900
(304) 720-2742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WV
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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