Hibbard-Kaidi, Jennifer Lynn

Hibbard-Kaidi, Jennifer Lynn is an individual health care provider with primary practice located at 4140 County Road 101 N , Plymouth MN 55446-2308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hibbard-Kaidi, Jennifer Lynn can be contacted via phone (763) 478-4612.

Contact Information

Primary practice address
4140 County Road 101 N Plymouth MN 55446-2308
Phone: (763) 478-4612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.15969-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5501 Minnesota

Profile Details

NPI number 1588077317
LBN Legal business name Hibbard-Kaidi, Jennifer Lynn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Jul 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588077317 NPPES
Ohio MEDICAID 0105015

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