Provider Demographics
NPI:1760827463
Name:KIDD, EMILY MARIE (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:KIDD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9300 NOBLE PKWY N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-5500
Mailing Address - Country:US
Mailing Address - Phone:763-236-5300
Mailing Address - Fax:763-236-5250
Practice Address - Street 1:9300 NOBLE PKWY N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-5500
Practice Address - Country:US
Practice Address - Phone:763-236-5300
Practice Address - Fax:763-236-5250
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2021-03-11
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Provider Licenses
StateLicense IDTaxonomies
MN58374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine