Individual
AMY A KVIDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
618 N 9TH ST, SAINT PETER, MN 56082-1261
(507) 934-1211
Mailing address
618 N 9TH ST, SAINT PETER, MN 56082-1261
(507) 934-1211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40487
MN
207Q00000X
Family Medicine Physician
Primary
40487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32578400
—
WI
Enumeration date
06/22/2005
Last updated
08/21/2014
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