Individual
DR. YANCIE JOHN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
218 DIVIDEND DR, SUITE 2, REXBURG, ID 83440-3556
(208) 359-2727
(208) 359-5468
Mailing address
635 E 2ND N, SAINT ANTHONY, ID 83445-1612
(208) 403-5450
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1081
ID
Other
Enumeration date
05/15/2006
Last updated
03/30/2010
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