Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MICHELLE KIDD, SLP
Active Sole ProprietorSHANNON MICHELLE KIDD, SLP is a Speech, Language and Hearing Specialist healthcare provider located in PINE KNOT, Kentucky. NPI 1356439806 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PINE KNOT, KY
Registration Details
- NPI Number
- 1356439806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2006 (19.662624445157 yrs)
- Last Updated
- Jul 8, 2007
- License
-
KY-2595 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
93 LINK DRPINE KNOT, KY, 426359155Browse KY providers · Browse ZIP 42635
- Phone
- 6063109795
- Fax
- 6063543537
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
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.