Kidder, Susan

Kidder, Susan is an individual health care provider with primary practice located at 1115 Harber Rd. Delaware County Clinic, Grove OK 74344-7918. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kidder, Susan can be contacted via phone (918) 786-4434.

Contact Information

Primary practice address
1115 Harber Rd. Delaware County Clinic Grove OK 74344-7918
Fax: (918) 786-4435
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1134455934
LBN Legal business name Kidder, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated Oct 29th, 2009 - about 16 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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