Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MACK ANDERSON KIDD III, R.N.
Active Sole ProprietorMR. MACK ANDERSON KIDD III, R.N. is a Registered Nurse healthcare provider located in WINCHESTER, Kentucky. NPI 1346478310 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WINCHESTER, KY
Registration Details
- NPI Number
- 1346478310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2009 (17.159885073341 yrs)
- Last Updated
- Jun 29, 2009
- License
-
R.N. 350596 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 LINDBERG RD.WINCHESTER, KY, 40391Browse KY providers · Browse ZIP 40391
- Phone
- 8597449091
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in WINCHESTER, KY
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE MICHELLE BROCK | — | 1730750647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.