Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN LEE MCKIDDY
ActiveSHAWN LEE MCKIDDY is a Student (Health Education/Training) healthcare provider located in GLENDALE SPRINGS, North Carolina. NPI 1851055867 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · GLENDALE SPRINGS, NC
Registration Details
- NPI Number
- 1851055867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2021 (4.8340946513593 yrs)
- Last Updated
- Oct 26, 2021
Practice Information
- Address
-
542 OLD WILKES RDGLENDALE SPRINGS, NC, 286299103Browse NC providers · Browse ZIP 28629
- Phone
- 3369770290
- Primary Specialty
-
Student (Health Education/Training)
390200000X
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.