MARK E KIDD

PADUCAH, KY
NPI1750582763
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: KY  06-14871)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- MARK E KIDD
200 LUTES RD
PADUCAH, KY 42001-6114
Phone number: 270-554-9390
Mailing Address
-- MARK E KIDD
200 LUTES RD
PADUCAH, KY 42001-6114
Phone number: 270-554-9390
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