Kidder, Brenda

Kidder, Brenda is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kidder, Brenda can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 1802-NS Ohio

Profile Details

NPI number 1245251057
LBN Legal business name Kidder, Brenda
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 25th, 2010 - about 16 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 1245251057 NPPES
Ohio Other 750700 BUCKEYE
Ohio Other 000000224407 BUCKEYE
Ohio Other 000000370806 BUCKEYE
Ohio MEDICAID 2776830 BUCKEYE
Ohio Other 363699 BUCKEYE
Ohio Other 1021104990001 BUCKEYE
Ohio Other 7876700 BUCKEYE
Ohio Other 000000526071 BUCKEYE

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