Kidd, Mary K
Kidd, Mary K is an individual health care provider with primary practice located at 4851 Independence St Ste 270 , Wheat Ridge CO 80033-6712. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kidd, Mary K can be contacted via phone (303) 467-5767.Contact Information
Primary practice address
4851 Independence St Ste 270
Wheat Ridge CO 80033-6712
Phone: (303) 467-5767
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1427 | Colorado |
Profile Details
NPI number | 1619093234 |
---|---|
LBN Legal business name | Kidd, Mary K |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2007 |
Last updated | Oct 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619093234 | NPPES |
Other | 015920 | KAISER-COMMERCIAL NUMBER |
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