Kidd, Shanna

Kidd, Shanna is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kidd, Shanna can be contacted via phone (432) 335-1500.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 335-1500
Fax: (432) 335-1537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06691 Texas

Profile Details

NPI number 1851616916
LBN Legal business name Kidd, Shanna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Nov 12th, 2010 - about 15 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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