KIDMED INC. NPI 1174042022

NPI Information

  • NPI: 1174042022
  • Provider Name: KIDMED INC.
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: KIDMED STAFFORD
  • CLIA Number: 49D2093143
  • Address: 20 DOC STONE RD
    STAFFORD, VA
    ZIP 22556
  • Phone: (804) 647-2240

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NPI Details

KIDMED INC. is an urgent care clinic center in Stafford, VA. KIDMED INC. NPI is 1174042022. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidmed Stafford.

The provider's business location address is:

20 DOC STONE RD
STAFFORD, VA
ZIP 22556-515
Phone: (804) 647-2240

The provider's authorized official is Mark A Flanzenbaum .
The authorized official title is President and has the following contact phone number (804) 592-5437.

The CLIA number assigned to this NPI record is 49D2093143 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 8/30/2023.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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