KENYETTA ELAINE KIDD

JACKSONVILLE, FL
NPI1174704035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA6945)
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2007-11-20
Last Update Date2007-11-20
Business Address
-- KENYETTA ELAINE KIDD
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
Mailing Address
-- KENYETTA ELAINE KIDD
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022