SearchWest Virginia374U00000X

Gwendolyn Kidd

NPI 1801783824 · on the registry since 2025 · sole proprietor

Practice

Address
421 Log Town Rd
Ansted, WV 25812
Phone
(304) 362-2581

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-06-23

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 West Virginia