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Stephanie Kidd, DO
NPI 1689194813 · on the registry since 2017
Practice
- Address
- 10101 Ernst Rd Ste 1200
Roanoke, IN 46783 - Phone
- (260) 234-5400
- Fax
- (260) 235-5410
- Clinicians at this address
- 14
Additional practice sites
- 7230 Engle Rd Ste 100, Fort Wayne, IN
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana