Individual
TERRY ARLEEN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
Mailing address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
149096
AK
Other
Enumeration date
03/08/2021
Last updated
07/29/2021
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