Keith L Kidd is a Family in Charleston, Tennessee. Keith L Kidd practices all healthcare services and medical treatments related to Family. The NPI Number for Keith L Kidd is 1811168941. The last update date is 2021-10-29.
Keith L Kidd's current location address is Po Box 15, Charleston, Tennessee. You can contact this provider via phone number 4236653666 and fax number 4235846747. The mailing address for Keith L Kidd is Po Box 15, Charleston, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith L Kidd |
|---|---|
| Address | Po Box 15, Charleston, Tennessee |
| Phone Number | 4236653666 |
| Fax Number | 4235846747 |
| Sole Proprietor | Y |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1811168941 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
| Address | Po Box 15 |
|---|---|
| City | Charleston |
| State | Tennessee (TN) |
| Post Code | 373100015 |
| Phone Number | 4236653666 |
| Fax Number | 4235846747 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 13254 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q007277 | TN | -- | |
| 2684136 | TN | AMERIGROUP | |
| 3476201 | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Keith L Kidd by the Centers for Medicare & Medicaid Services?
The Keith L Kidd has been issued the NPI (National Provider Identifier) 1811168941, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Keith L Kidd?
The Keith L Kidd is physically situated at Po Box 15, in the city of Charleston, state of TN, with the postal code 373100015.
What is Keith L Kidd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keith L Kidd's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811168941 to Keith L Kidd?
The Keith L Kidd received its 1811168941 assignment from the Centers for Medicare & Medicaid Services on 2008-03-17.
When was the information related to Keith L Kidd most recently updated or refreshed?
The details pertaining to the Keith L Kidd, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY