person
Mr. Keith L Kidd, FNP-BC
Family Nurse Practitioner in Charleston, Tennessee
NPI 1811168941

Keith L Kidd is a Family Nurse Practitioner based in Charleston, TN and is specialized in Family. Keith L Kidd practices in Charleston, TN and has the professional credentials of FNP-BC. The NPI Number for Keith L Kidd is 1811168941 and holds a License No. 13254 (Tennessee).

The current practice location address for Keith L Kidd is 9026 Hiwassee St Ne, Charleston, TN and can be reached out via phone at 423-665-3666 and via fax at 423-584-6747.

Location: 9026 Hiwassee St Ne, Charleston, TN, 37310-0015
person
Provider Profile Details
NPI Number
1811168941
Provider Name
Keith L Kidd
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
9026 Hiwassee St Ne, Charleston, TN, 37310-0015
Phone Number
423-665-3666
Fax Number
423-584-6747
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q007277 05 TN
02684136 01 TN AMERIGROUP
3476201 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
9026 Hiwassee St Ne
City
State
Zip
37310-5305
Phone Number
423-665-3666
Fax Number
423-584-6747
person
Provider Business Mailing Address Details
Address
9026 Hiwassee St Ne
City
State
Zip
37310-5305
Phone Number
423-665-3666
Fax Number
423-584-6747
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
13254 (Tennessee)
Definition
Definition to come...
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