Kidd, Kristen Lynne

Kidd, Kristen Lynne is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kidd, Kristen Lynne can be contacted via phone (330) 480-3709.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504-1006
Phone: (330) 480-3709
Fax: (330) 480-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-001735 Ohio

Profile Details

NPI number 1992839575
LBN Legal business name Kidd, Kristen Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Sep 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992839575 NPPES
Ohio MEDICAID 0084823

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