Individual
KEVIN J KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12355 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-7200
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015000874
MO
Other
Enumeration date
03/21/2007
Last updated
10/09/2025
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