Most Relevant Information
Provider Data
| NPI Number: | 1003338278 |
| Provider Name: | LEAH KIDDER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207QA0000X |
| Specialty: | Family Medicine |
| License Number: | 020888 |
Most Important Dates
| Enumeration Date: | 07/10/2017 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
25 PARK AVE
COHOCTON
NY
148269401
Practice Location Phone/Fax
| Phone: | 5853845310 |
| Fax: |
Provider Mailing Location
PO BOX 601
DANSVILLE
NY
144370601
Provider Mailing Phone/Fax
| Phone: | 5853353100 |
| Fax: |