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Individual

MS. KELLI J. KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., R.D., LDN

Contact information

Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2209
(401) 845-1254
Mailing address
900 WASHINGTON ROAD, CREDENTENTIAL'S OFFICE, KELLER ARMY COMMUNITY HOSPITAL, WEST POINT, NY 10996-1197
(845) 446-6546

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005328
NY
133V00000X
Registered Dietitian
Primary
LDN00763
RI

Other

Enumeration date
04/04/2006
Last updated
10/02/2014
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