Leilani C Kidder is a Family in Springfield, Massachusetts. Leilani C Kidder practices all healthcare services and medical treatments related to Family. The NPI Number for Leilani C Kidder is 1336222074. The last update date is 2016-05-20.
Leilani C Kidder's current location address is 280 Chestnut St, Springfield, Massachusetts. You can contact this provider via phone number 4137945700. The mailing address for Leilani C Kidder is 280 Chestnut St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leilani C Kidder |
|---|---|
| Address | 280 Chestnut St, Springfield, Massachusetts |
| Phone Number | 4137945700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336222074 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2016-05-20 |
Provider Mailing Address Detail
| Address | 280 Chestnut St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11991001 |
| Phone Number | 4137945700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 232775 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Leilani C Kidder by the Centers for Medicare & Medicaid Services (CMS)?
The Leilani C Kidder has been assigned the NPI (National Provider Identifier) 1336222074. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Leilani C Kidder located?
The Leilani C Kidder is located at 280 Chestnut St, Springfield, MA 11991001.
What is Leilani C Kidder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leilani C Kidder is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Leilani C Kidder receive its 1336222074 assignment from the Centers for Medicare & Medicaid Services?
The Leilani C Kidder was assigned its 1336222074 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details related to Leilani C Kidder most recently updated or revised?
The information pertaining to Leilani C Kidder, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-20.
NPI Number: 1720081763
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