Provider Demographics
NPI:1396183422
Name:KIDD, LINDSAY LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LOUISE
Last Name:KIDD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 WAYLES LN STE 150
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-4631
Mailing Address - Country:US
Mailing Address - Phone:434-964-9500
Mailing Address - Fax:434-964-9501
Practice Address - Street 1:215 WAYLES LN STE 150
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-4631
Practice Address - Country:US
Practice Address - Phone:434-964-9500
Practice Address - Fax:434-964-9501
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101262979207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology