Individual
DR. JENNIFER BENTLEY KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 S 12TH ST, PORT ARANSAS, TX 78373-5328
(210) 872-1863
Mailing address
PO BOX 328, PORT ARANSAS, TX 78373-0328
(210) 872-1863
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
J5542
TX
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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