Individual
ALISHA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 W 144TH ST, LEAWOOD, KS 66224-3655
(913) 515-7519
Mailing address
3304 W 144TH ST, LEAWOOD, KS 66224-3655
(913) 515-7519
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
K02346378
KS
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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