Kidd, Charles F

Kidd, Charles F is an individual health care provider with primary practice located at 2801 W. Kinnickinnic River Parkway Suite 370, Milwaukee WI 53215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kidd, Charles F can be contacted via phone (414) 672-6006.

Contact Information

Primary practice address
2801 W. Kinnickinnic River Parkway Suite 370 Milwaukee WI 53215
Phone: (414) 672-6006
Fax: (414) 672-6016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 46512020 Wisconsin

Profile Details

NPI number 1508834193
LBN Legal business name Kidd, Charles F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated May 2nd, 2012 - about 14 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 1508834193 NPPES
Wisconsin MEDICAID 34472100
Wisconsin Other 340020435

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