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Stephanie S Kidd, DO
Family Medicine Physician in Roanoke, Indiana
NPI 1689194813

Stephanie S Kidd is a Family Medicine Physician based in Indianapolis, IN. Stephanie S Kidd practices in Roanoke, IN and has the professional credentials of DO. The NPI Number for Stephanie S Kidd is 1689194813 and holds a License No. 02005696A (Indiana).

The current practice location address for Stephanie S Kidd is 10101 Ernst Rd Ste 1200, Roanoke, IN and can be reached out via phone at 260-234-5400 and via fax at 260-235-5410.

Location: 10101 Ernst Rd Ste 1200, Roanoke, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689194813
Provider Name
Stephanie S Kidd
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10101 Ernst Rd Ste 1200, Roanoke, IN, 46219-4959
Phone Number
260-234-5400
Fax Number
260-235-5410
Provider Enumeration Date
06/20/2017
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
300028933 05 IN
000001525777 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
10101 Ernst Rd Ste 1200
City
Roanoke
State
Indiana
Zip
46783-9711
Phone Number
260-234-5400
Fax Number
260-235-5410
person
Provider Business Mailing Address Details
Address
10101 Ernst Rd Ste 1200
City
Roanoke
State
Indiana
Zip
46783-9711
Phone Number
260-234-5400
Fax Number
260-235-5410
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02005696A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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