Individual
CHRISTINA MAE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CHILDRENS AVE STE 14000, OKLAHOMA CITY, OK 73104-4637
(405) 271-4401
Mailing address
1118 MCCONNELL DR, YUKON, OK 73099-3310
(405) 227-8555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43714
OK
Other
Enumeration date
12/05/2020
Last updated
05/31/2024
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