Kidd, Joel Kenneth
Kidd, Joel Kenneth is an individual health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kidd, Joel Kenneth can be contacted via phone (864) 885-7758.Contact Information
Primary practice address
298 Memorial Dr
Seneca SC 29672-9443
Phone: (864) 885-7758
Fax: (864) 885-7749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18829 | South Carolina |
Profile Details
| NPI number | 1841266400 |
|---|---|
| LBN Legal business name | Kidd, Joel Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jun 9th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841266400 | NPPES |
| South Carolina | MEDICAID | GP4697 | |
| South Carolina | MEDICAID | T28226 |
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