Kidd, Kenneth Wayne
Kidd, Kenneth Wayne is an individual health care provider with primary practice located at 1148 W 103Rd St , Kansas City MO 64114-4511. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kidd, Kenneth Wayne can be contacted via phone (816) 942-4300.Contact Information
Primary practice address
1148 W 103Rd St
Kansas City MO 64114-4511
Phone: (816) 942-4300
Fax: (816) 942-4302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2007008453 | Missouri |
Profile Details
| NPI number | 1245425834 |
|---|---|
| LBN Legal business name | Kidd, Kenneth Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Sep 7th, 2007 - about 18 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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