Individual
HEATHER M KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
53 COLUMBIA ST, RENSSELAER, NY 12144-2933
(518) 434-2526
(518) 434-2595
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300910
NY
Other
Enumeration date
03/27/2016
Last updated
11/21/2024
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