Individual
MS. DEBORAH GWEN KIDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
74 ELM ST STE 2, DANVERS, MA 01923-2885
(978) 538-0355
Mailing address
74 ELM ST STE 2, DANVERS, MA 01923-2885
(978) 538-0355
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN136659
MA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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