Individual
ELIZABETH KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
10/06/2011
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