Kidd, Angela Tatum

Kidd, Angela Tatum is an individual health care provider with primary practice located at 935 Hwy Vv , Kennett MO 63857-0071. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kidd, Angela Tatum can be contacted via phone (573) 888-5925.

Contact Information

Primary practice address
935 Hwy Vv Kennett MO 63857-0071
Phone: (573) 888-5925
Fax: (573) 888-9365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1881059996
LBN Legal business name Kidd, Angela Tatum
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2015
Last updated Dec 17th, 2015 - about 11 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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