Individual
DR. PAUL MICHAEL KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 E PRIMROSE ST STE 270, SPRINGFIELD, MO 65807-5177
(417) 882-6900
(417) 882-8912
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2010013493
MO
207V00000X
Obstetrics & Gynecology Physician
58002300
OH
Other
Enumeration date
05/15/2007
Last updated
11/14/2018
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