SALLY M KIDMAN


Address: 535 S Burdick St Ste 256, Kalamazoo, MI 49007-6112
Phone: 2693529977

SALLY M KIDMAN (NPI# 1093334294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093334294
Entity Type Individual
Full Name SALLY M KIDMAN
Credential RN
Practice Address 535 S Burdick St Ste 256
Kalamazoo
MI 49007-6112
Mailing Address 5106 Fountain Square Dr
Kalamazoo
MI 49009-9531
Practice Telephone 2693529977
Mailing Telephone 2693529977
Enumeration Date 2020-04-09
Last Update Date 2020-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
4704239762 MI Nursing Service Providers

Office Location

Street Address 535 S BURDICK ST STE 256
City KALAMAZOO
State MI
Zip Code 49007-6112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881248342 Whitney Kiel Pharmacist 601 John Street Suite M-020, Kalamazoo, MI 49007 2019-08-01
1316591571 Laura Jedele Physical Therapist Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 2019-07-26
1992209084 Yvonne Marie Heltzel Behavior Technician 1826 N Rose St, Kalamazoo, MI 49007 2018-03-22
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1720529779 Dannison Psychologist 604 S Rose St, Kalamazoo, MI 49007 2017-03-10
1265988901 Calee Dieleman Social Worker 610 South Burdick, Kalamazoo, MI 49007 2016-09-01
1508313099 Arriel Julia Ampey Social Worker 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 2016-09-01
1043662745 Holloway Marston Psychologist 717 W South St, Apt. #6, Kalamazoo, MI 49007 2016-07-06
1205280062 Bronson At Home Home Health 601 John St Ste M-431, Kalamazoo, MI 49007 2016-04-19
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578161600 Tiffini Ann Jones Registered Nurse 3624 8th St, Wyandotte, MI 48192-6509 2020-10-12
1205339595 Janet Banks-mcelrath Registered Nurse 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038-1133 2018-03-13
1275032849 Bethany Wolter Registered Nurse 175 S Waverly Rd Ste A, Holland, MI 49423-7906 2018-02-08
1568974038 Point A Organization Registered Nurse 12091 Cloverlawn St, Detroit, MI 48204-1012 2017-10-24
1992226773 Linda Loou Thopmson Registered Nurse 335 E. Houghton Ave., West Branch, MI 48661 2017-06-30
1619346780 Kathy Ann Bowers Registered Nurse 2300 N. Stallman Rd, Suttons Bay, MI 49682 2015-09-18
1639589526 Jill Moore Registered Nurse 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 2014-05-01
1104165851 Frances Pachota Registered Nurse 28100 Grand River Ave Ste 301, Farmington Hills, MI 48336-5970 2013-01-31
1225292832 Cynthia Marie Hoganson Registered Nurse 7696 E Claymore Ct, Canton, MI 48187-1842 2008-07-13
1457534703 Linda Susan Kangas Registered Nurse 13396 Hyde Rd, Hartland, MI 48353-3210 2007-12-10
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Competitor

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City KALAMAZOO
Zip Code 49007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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