Kidd, Gerald Steele

Kidd, Gerald Steele is an individual health care provider with primary practice located at 13952 Denver West Pkwy Ste 100 , Lakewood CO 80401-3141. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kidd, Gerald Steele can be contacted via phone (303) 604-5000.

Contact Information

Primary practice address
13952 Denver West Pkwy Ste 100 Lakewood CO 80401-3141
Phone: (303) 604-5000
Fax: (720) 890-0364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 689 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0004075 Colorado

Profile Details

NPI number 1265552210
LBN Legal business name Kidd, Gerald Steele
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Mar 6th, 2020 - about 4 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 1265552210 NPPES
Colorado MEDICAID 90056868

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