Kidman, Yvette A
Kidman, Yvette A is an sole proprietor health care provider with primary practice located at 300 3Rd Ave Se Ste 402 , Rochester MN 55904-4613. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kidman, Yvette A can be contacted via phone (507) 218-8973.Contact Information
Primary practice address
300 3Rd Ave Se Ste 402
Rochester MN 55904-4613
Phone: (507) 218-8973
Fax: (507) 206-0450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1003284621 |
|---|---|
| LBN Legal business name | Kidman, Yvette A |
| Credentials | MA, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2015 |
| Last updated | Apr 21st, 2024 - about 2 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 | 1003284621 | NPPES |
| Minnesota | MEDICAID | 1003284621 |
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