KELLIE A KIDD

COLUMBUS, OH
NPI1952306318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  COA07581NP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  07581NP)
Enumeration Date2005-06-14
Last Update Date2010-03-02
Business Address
-- KELLIE A KIDD CNP
452 W 10TH AVENUE STE 100
COLUMBUS, OH 43210
Phone number: 614-293-6638
Mailing Address
-- KELLIE A KIDD CNP
700 ACKERMAN RD
COLUMBUS, OH 43202-1559
Phone number: 614-947-3700