Individual
MS. SHARILYN J KIDDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1115 B ST, PLUMMER, ID 83851
(208) 686-1931
(208) 686-1035
Mailing address
306 LONG RD, PLUMMER, ID 83851-9766
(208) 686-0407
(208) 686-1035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N 29973
ID
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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