Healthcare Provider Details

I. General information

NPI: 1306767157
Provider Name (Legal Business Name): DR. ABBIGAIL JOSEPHINE KIDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 S MAIN ST
HOPE AR
71801-7202
US

IV. Provider business mailing address

1245 SPRING LAKE RD
HOPE AR
71801-9088
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-5555
  • Fax:
Mailing address:
  • Phone: 870-826-5525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD17840
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: