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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH L KIDD, FNP-BC

Active Sole Proprietor

MR. KEITH L KIDD, FNP-BC is a Family Nurse Practitioner healthcare provider located in CHARLESTON, Tennessee. NPI 1811168941 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CHARLESTON, TN

Registration Details

NPI Number
1811168941
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2008 (18.37101469839 yrs)
Last Updated
Oct 29, 2021
License
13254 (TN)
Sole Proprietor
Yes

Practice Information

Address
9026 HIWASSEE ST NE
CHARLESTON, TN, 373105305
Browse TN providers · Browse ZIP 37310
Phone
4236653666
Fax
4235846747
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in CHARLESTON, TN

Name Credential NPI
MR. DANNY RAY NELSON NP-C 1184038762
MICHELLE LYNN WHITE FNP-BC 1396333662
JOSHUA BLAKE VIAR NP-C 1104535624
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.