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Individual

BRIAN K KIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 S MINNESOTA AVE, STE 3, SIOUX FALLS, SD 57105-4744
(605) 339-3378
(605) 339-0710
Mailing address
2701 S MINNESOTA AVE, STE 3, SIOUX FALLS, SD 57105-4744
(605) 339-3378
(605) 339-0710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1799
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5404647
SD
Enumeration date
08/14/2006
Last updated
01/27/2011
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