Matthew Charles Kidd D.O.

NPI 1417138322 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1417138322
Gender Male
Enumeration Date 11/19/2007
Last Updated 10/14/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4865 RIVERBEND RD STE 100
BOULDER CO, 80301-2632, US
Phone (303) 415-8800
Fax (303) 415-8801
Business Location
345 MAXWELL AVE
BOULDER CO, 80304-3972, US
Phone (303) 544-5783
Fax (303) 441-2388
Toxanomy
Taxonomy Code 2084N0400X
License State Texas
License Number P5396
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According to our database, Dr. Matthew Charles Kidd D.O. NPI is 1417138322, taxonomy code is 2084N0400X and license number is P5396, license state is located at Texas. Matthew Charles Kidd D.O. physically located at 4865 Riverbend Rd Ste 100, Boulder CO, 80301-2632. NPI Number Matthew Charles Kidd D.O. has the Individual type.

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1417138322 NPI number is provided on an as is basis without warranty of any kind. 1417138322 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Charles Kidd D.O. are for informational purposes only.