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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619093234 NPPES
Other 015920 KAISER-COMMERCIAL NUMBER

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