Kenyetta Elaine Kidd in Jacksonville - Developmental Therapist
Kenyetta Elaine Kidd - NPI 1174704035
Kenyetta Elaine Kidd is a Developmental Therapist in Jacksonville, Florida. Kenyetta Elaine Kidd practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Kenyetta Elaine Kidd is 1174704035. The last update date is 2007-11-20.
Kenyetta Elaine Kidd's current location address is 910 N Jefferson St, Jacksonville, Florida. You can contact this provider via phone number 9043607022 and fax number 9047984544. The mailing address for Kenyetta Elaine Kidd is 910 N Jefferson St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyetta Elaine Kidd |
|---|---|
| Address | 910 N Jefferson St, Jacksonville, Florida |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174704035 |
|---|---|
| Provider Enumeration Date | 2007-11-20 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 910 N Jefferson St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096810 |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kenyetta Elaine Kidd?
The Kenyetta Elaine Kidd has been issued the NPI (National Provider Identifier) 1174704035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenyetta Elaine Kidd's facilities are situated?
The facilities of Kenyetta Elaine Kidd are physically located at the following address: 910 N Jefferson St, Jacksonville, FL, 322096810.
What is the Kenyetta Elaine Kidd's area of specialization and corresponding taxonomy classification?
The Kenyetta Elaine Kidd's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kenyetta Elaine Kidd receive its 1174704035 assignment from the Centers for Medicare & Medicaid Services?
The Kenyetta Elaine Kidd was assigned its 1174704035 by the Centers for Medicare & Medicaid Services on 2007-11-20.
When was the Kenyetta Elaine Kidd's information last updated?
The Kenyetta Elaine Kidd's information was last updated on 2007-11-20.
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