Kidd, Richard Charles

Kidd, Richard Charles is an individual health care provider with primary practice located at 13020 Park Blvd Oakhurst Medical Clinic, Seminole FL 33776. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kidd, Richard Charles can be contacted via phone (727) 393-3404.

Contact Information

Primary practice address
13020 Park Blvd Oakhurst Medical Clinic Seminole FL 33776
Phone: (727) 393-3404
Fax: (727) 393-4814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS0002974 Florida

Profile Details

NPI number 1700810421
LBN Legal business name Kidd, Richard Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700810421 NPPES
Other 2361160 AETNA
Other 284246 AETNA

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