Eddie Kidd

NPI #1205409778 in Southfield, Michigan

Provider Information

NPI Number: 1205409778
Entity Type: Individual
Name: Eddie Kidd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 21, 2021
Last Updated: Jul 21, 2021

Practice Location

Address: 28475 GREENFIELD RD STE 113
City: Southfield
State: Michigan
ZIP Code: 48076-3034
Phone: (248) 238-9853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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