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Leslie Kidd
Home Health Registered Nurse in Jenison, Michigan
NPI 1568095222

Leslie Kidd is a Home Health Registered Nurse based in Grandville, MI and is specialized in Home Health. Leslie Kidd practices in Jenison, MI. The NPI Number for Leslie Kidd is 1568095222 and holds a License No. 4704260532 (Michigan).

The current practice location address for Leslie Kidd is 8904 Cedar Lake Dr, Jenison, MI and can be reached out via phone at 616-443-7934.

Location: 8904 Cedar Lake Dr, Jenison, MI, 49418-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568095222
Provider Name
Leslie Kidd
Credential
Provider Entity Type
Individual
Gender
Female
Address
8904 Cedar Lake Dr, Jenison, MI, 49418-2000
Phone Number
616-443-7934
Fax Number
Provider Enumeration Date
02/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8904 Cedar Lake Dr
City
Jenison
State
Michigan
Zip
49428-9462
Phone Number
616-443-7934
Fax Number
person
Provider Business Mailing Address Details
Address
8904 Cedar Lake Dr
City
Jenison
State
Michigan
Zip
49428-9462
Phone Number
616-443-7934
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
4704260532 (Michigan)
Definition
Definition to come...
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