Individual
MRS. PATTIE JEAN KIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N.
Contact information
Practice address
1920 PICKWICK ST, SAVANNAN, SAVANNAH, TN 38372-5309
(731) 925-2557
(731) 925-3100
Mailing address
1920 PICKWICK ST, SAVANNAN, SAVANNAH, TN 38372-5309
(731) 925-2557
(731) 925-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000106649
TN
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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