Kidd, Catherine

Kidd, Catherine is an individual health care provider with primary practice located at 1040 Division St , Mauston WI 53948-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kidd, Catherine can be contacted via phone (608) 847-5000.

Contact Information

Primary practice address
1040 Division St Mauston WI 53948-1931
Phone: (608) 847-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 922 Wisconsin

Profile Details

NPI number 1770573917
LBN Legal business name Kidd, Catherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1770573917 NPPES
Wisconsin MEDICAID 42960100

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