Kidd, Cody Lee
Kidd, Cody Lee is an individual health care provider with primary practice located at 710 Chesterfield Hwy , Cheraw SC 29520-7001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kidd, Cody Lee can be contacted via phone (843) 537-2171.Contact Information
Primary practice address
710 Chesterfield Hwy
Cheraw SC 29520-7001
Phone: (843) 537-2171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 87607 | South Carolina |
Profile Details
| NPI number | 1508516873 |
|---|---|
| LBN Legal business name | Kidd, Cody Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2022 |
| Last updated | Sep 20th, 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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