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Individual

MS. KATHERINE B KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, BC

Contact information

Practice address
8288 FIRETOWER RD STE F, PASS CHRISTIAN, MS 39571-9621
(228) 222-8900
(228) 222-8906
Mailing address
2074 SCIANNA LN, BAY SAINT LOUIS, MS 39520-1653
(662) 251-6205

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R830346
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06436091
MS
Enumeration date
01/09/2009
Last updated
04/13/2026
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