Kvidera, Amy A

Kvidera, Amy A is an individual health care provider with primary practice located at 618 N 9Th St , Saint Peter MN 56082-1261. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kvidera, Amy A can be contacted via phone (507) 934-1211.

Contact Information

Primary practice address
618 N 9Th St Saint Peter MN 56082-1261
Phone: (507) 934-1211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40487 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 40487 Minnesota

Profile Details

NPI number 1639175896
LBN Legal business name Kvidera, Amy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 21st, 2014 - about 11 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 1639175896 NPPES
Wisconsin MEDICAID 32578400

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