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Individual

DEIRDRE MAY KIDERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2100 OLD FARM DR STE C, FREDERICK, MD 21702-5402
(301) 662-9105
(301) 662-9026
Mailing address
1625 OLD ANNAPOLIS RD, WOODBINE, MD 21797-8207
(410) 608-5713

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006318
MD

Other

Enumeration date
12/22/2016
Last updated
08/04/2025
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