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1073140703
NICHOLAS KIDD
CHARLOTTESVILLE, VA
NPI
1073140703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101279420)
Enumeration Date
2020-03-24
Last Update Date
2023-08-11
Business Address
NICHOLAS KIDD MD
375 FOUR LEAF LN STE 103
CHARLOTTESVILLE, VA 22903-6905
Phone number: 434-243-0700
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Mailing Address
NICHOLAS KIDD MD
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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