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1184624751
KRISTA K. SIDELL
CHARLOTTE, NC
NPI
1184624751
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Former Name
KRISTA M. KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 900366)
Enumeration Date
2005-07-26
Last Update Date
2013-02-07
Business Address
-- KRISTA K. SIDELL NP
1718 E 4TH ST SUITE 105
CHARLOTTE, NC 28204-3261
Phone number: 704-384-7292
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Mailing Address
-- KRISTA K. SIDELL NP
PO BOX 601529
CHARLOTTE, NC 28260-1529
Phone number: 704-384-7292
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