LAURA R KIDD

CARBONDALE, IL
NPI1396842480
Former NameLAURA R WILLENBORG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.002750)
Enumeration Date2006-09-20
Last Update Date2022-07-21
Business Address
LAURA R KIDD P.A.
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
Mailing Address
LAURA R KIDD P.A.
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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