LESLIE KIDD


Address: 8904 Cedar Lake Dr, Jenison, MI 49428-9462
Phone: 6164437934

LESLIE KIDD (NPI# 1568095222) 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) 1568095222
Entity Type Individual
Full Name LESLIE KIDD
Practice Address 8904 Cedar Lake Dr
Jenison
MI 49428-9462
Mailing Address 3097 Prairie St Sw
Grandville
MI 49418-2000
Practice Telephone 6164437934
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
4704260532 MI Nursing Service Providers

Other Providers LESLIE KIDD

NPI Name Taxonomy Address Enumeration
1093085185 Leslie Marie Kidd Social Worker 520 Cooper St, Unit 4a, Asheboro, NC 27203-6296 2012-01-05
1629129929 Leslie Mize Kidd Occupational Therapist 8812 Kapheim Ct, Charlotte, NC 28273-8832 2007-01-15
1033127840 Leslie M Kidd Internal Medicine 2810 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306 2006-08-04
1760832489 Leslie Kidd Dental Hygienist Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 2016-06-14
1518970896 Leslie S Kidd Obstetrics & Gynecology 1705 Amherst St Ste 203, Winchester, VA 22601-3346 2006-08-15

Office Location

Street Address 8904 CEDAR LAKE DR
City JENISON
State MI
Zip Code 49428-9462

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902355076 Brian Jacob Wolters Chiropractor 7579 Main Street, Jenison, MI 49428 2016-09-29
1730530569 Michael Walton Counselor 7678 Cottonwood Dr Ste C, Jenison, MI 49428 2016-06-22
1972950301 Kyler Ross Debruyn Student in an Organized Health Care Education/Training Program 1932 Cedarbrook Drive, Jenison, MI 49428 2016-05-16
1932529799 Patrick Christopher Schafer Family Medicine 345 Baldwin St, Jenison, MI 49428 2014-04-21
1548469216 Sarah Anne Sainem Gordon Counselor 7506 Church Street, Jenison, MI 49428 2007-07-13
1265578900 Stephen Mitchael Dadd Dentist 657 Baldwin St, Jenison, MI 49428 2007-01-29
1831277136 Tyler Andrew Wolf Dentist 7678 Cottonwood Dr, Jenison, MI 49428 2006-11-02
1497840342 Bruce A Seitz Dds PC Dentist 701 Baldwin, Jenison, MI 49428 2006-10-04
1134221260 Aaron N Kik Chiropractor 7646 20th Ave, Jenison, MI 49428 2006-09-01
1700899135 Mark Laman Powell Dentist 2076 Baldwin Dr, Jenison, MI 49428 2006-08-15
Find all providers in zip 49428

Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821605619 Felicia Simmons Registered Nurse 16861 Lesure St, Detroit, MI 48235-4012 2020-09-25
1730796764 Rebekah J Trivilino Registered Nurse 619 W Houstonia Ave, Royal Oak, MI 48073-4083 2020-09-24
1508473653 Latoia Pharr Registered Nurse 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 2020-09-23
1093332843 Laurence Stephen Reuben Registered Nurse 26070 Radclift Pl, Oak Park, MI 48237-1047 2020-06-28
1770105389 Shanita Blevins Registered Nurse 19962 Ferguson St, Detroit, MI 48235-2431 2020-05-18
1558980862 Kyesha Noble Registered Nurse 545 Abbey St Apt G, Muskegon, MI 49442-2155 2020-04-16
1164054086 Brenda S Vanaanhold Registered Nurse 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 2020-02-08
1891334074 Lachelle Sophia Carroll Registered Nurse 14046 Stahelin Ave, Detroit, MI 48223-2985 2020-01-05
1134777592 Alicia Marie Gregg Registered Nurse 6024 Walton Rd, Kingsley, MI 49649-9275 2019-08-29
1144874397 Stephanie Ann Tomasi Registered Nurse 35160 6 Mile Rd, Livonia, MI 48152-2977 2019-07-26
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Competitor

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City JENISON
Zip Code 49428

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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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