Individual
MRS. LAUREN AMBER KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
109 MEADOW VIEW RD, SUITE 1, BRISTOL, TN 37620-1661
(423) 844-4182
(423) 764-2457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19553
TN
Other
Enumeration date
01/09/2015
Last updated
04/02/2015
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