Kerri Kidwell, SUDRC #11205

NPI 1710555925 · on the registry since 2021

Practice

Address: 3600 Power Inn Rd Ste C
Sacramento, CA 95826
Phone: (916) 647-5343
Organisation at this address: John Richard Durbin
Lighthouse Living Services, Inc.
Bridges Professional Treatment Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 81

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-06-14

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 California