Kidd, Alicia Beth
Kidd, Alicia Beth is an sole proprietor health care provider with primary practice located at 203 W Patison St Ste B , Port Hadlock WA 98339-8701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kidd, Alicia Beth can be contacted via phone (360) 251-0898.Contact Information
Primary practice address
203 W Patison St Ste B
Port Hadlock WA 98339-8701
Phone: (360) 251-0898
Fax: (360) 251-0863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61190565 | Washington |
Profile Details
| NPI number | 1881173490 |
|---|---|
| LBN Legal business name | Kidd, Alicia Beth |
| Credentials | ARNP, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2018 |
| Last updated | Apr 24th, 2022 - 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 | 1881173490 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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