Kidd, Michael Gene
Kidd, Michael Gene is an individual health care provider with primary practice located at Lanstuhl Regional Medical Center Unit 33100, Apo AE 09180. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kidd, Michael Gene can be contacted via phone (910) 374-9721.Contact Information
Primary practice address
Lanstuhl Regional Medical Center Unit 33100
Apo AE 09180
Phone: (910) 374-9721
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 33076 | North Carolina |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 33076 | North Carolina |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33076 | North Carolina |
Profile Details
NPI number | 1720087836 |
---|---|
LBN Legal business name | Kidd, Michael Gene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Feb 20th, 2023 - about last year |
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 | 1720087836 | NPPES |
North Carolina | MEDICAID | 8948929 | |
North Carolina | MEDICAID | N33076 | |
North Carolina | Other | 48929 |
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