Individual
MARK E KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LUTES RD, PADUCAH, KY 42001-6114
(270) 554-9390
(270) 554-9390
Mailing address
200 LUTES RD, PADUCAH, KY 42001-6114
(270) 554-9390
(270) 554-9390
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06-14871
KY
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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