Individual
MR. JOHN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
6237 RIVLYN AVE NW, RAMSEY, MN 55303-4538
(612) 412-4661
Mailing address
6237 RIVLYN AVE NW, RAMSEY, MN 55303-4538
(612) 412-4661
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
10761063
MN
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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