Shannon M Kidd in Marietta - Nurse Anesthetist, Certified Registered

Shannon M Kidd - NPI 1508048737

Shannon M Kidd is a Nurse Anesthetist, Certified Registered in Marietta, Ohio. Shannon M Kidd practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Shannon M Kidd is 1508048737. The last update date is 2017-03-06.

Shannon M Kidd's current location address is 401 Matthew St, Marietta, Ohio. You can contact this provider via phone number 7403749990 and fax number 7403749993. The mailing address for Shannon M Kidd is 401 Matthew St, Marietta, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon M Kidd
Address 401 Matthew St, Marietta, Ohio
Phone Number 7403749990
Fax Number 7403749993
Sole Proprietor Y
Credentials CRNA

NPI Number Detail

NPI Number 1508048737
Provider Enumeration Date 2007-11-29
Last Updated Date 2017-03-06

Provider Mailing Address Detail

Address 401 Matthew St
City Marietta
State Ohio (OH)
Post Code 457501635
Phone Number 7403749990
Fax Number 7403749993

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 60137
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2937764 OH --
666683 OH ANTHEM
662146 OH ANTHEM
3810014829 WV --
P01058722 OH RAILROAD MEDICARE

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FAQs about Shannon M Kidd

What is the unique identifier code issued to Shannon M Kidd by the Centers for Medicare & Medicaid Services?

The Shannon M Kidd has been assigned the NPI (National Provider Identifier) 1508048737. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Shannon M Kidd located?

The Shannon M Kidd is located at 401 Matthew St, Marietta, OH 457501635.

What is the area of specialization for Shannon M Kidd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shannon M Kidd is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

When was the Shannon M Kidd's 1508048737 issued?

The Shannon M Kidd's 1508048737 was issued on 2007-11-29.

As of what date was the information pertaining to Shannon M Kidd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shannon M Kidd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-06.

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