SALLY M KIDMAN RN NPI 1093334294

NPI Information

NPI: 1093334294
Provider Name: SALLY M KIDMAN, RN
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
535 S BURDICK ST STE 256
KALAMAZOO, MI
ZIP 49007
Phone: (269) 352-9977
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Sally M Kidman, RN is a diabetes educator registered nurse in Kalamazoo, MI. Sally M Kidman, RN NPI is 1093334294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

535 S BURDICK ST STE 256
KALAMAZOO, MI
ZIP 49007-112
Phone: (269) 352-9977

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	4704239762	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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