Kidder, Kimberly G
Kidder, Kimberly G is an sole proprietor health care provider with primary practice located at 1500 W Willow St , Scott LA 70583-5303. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kidder, Kimberly G can be contacted via phone (337) 521-7700.Contact Information
Primary practice address
1500 W Willow St
Scott LA 70583-5303
Phone: (337) 521-7700
Fax: (337) 521-7701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4834 | Louisiana |
Profile Details
| NPI number | 1366574204 |
|---|---|
| LBN Legal business name | Kidder, Kimberly G |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | May 26th, 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 | 1366574204 | NPPES |
| Louisiana | MEDICAID | 1478202 |
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