Kidder, Thomas

Kidder, Thomas is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Froedtert & Med College Clin - West, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Kidder, Thomas can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 W Wisconsin Ave Froedtert & Med College Clin - West Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 16814 Wisconsin

Profile Details

NPI number 1902858723
LBN Legal business name Kidder, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 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 1902858723 NPPES
Wisconsin MEDICAID 30863200

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