Individual
CRAIG MATTHEW KIDDER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSHSA, ANP-C, RHIA
Contact information
Practice address
1302 ED BROUSSARD, NEW IBERIA, LA 70563-7056
(337) 229-7929
Mailing address
600 DON GUILBEAU RD, ARNAUDVILLE, LA 70512-6440
(337) 351-7114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08726
LA
Other
Enumeration date
07/01/2016
Last updated
05/28/2021
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