RICHARD KIDD

SUMMERVILLE, SC
NPI1629456983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  85279)
Enumeration Date2015-05-07
Last Update Date2015-05-07
Business Address
-- RICHARD KIDD
602 MAIN STREET
SUMMERVILLE, SC 29483-6627
Phone number: 843-876-2121
Mailing Address
-- RICHARD KIDD
PO BOX 602108
CHARLOTTE, NC 28260-2108
Phone number: 843-792-6200