Individual
MRS. SUSAN CAROL KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 W 119TH ST, OLATHE, KS 66061-9532
(913) 393-4150
Mailing address
18101 W 119TH ST, OLATHE, KS 66061-9532
(913) 393-4150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1661
KS
133V00000X
Registered Dietitian
2010030788
MO
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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