Individual provider · Type 1 NPI

Eddie Kidd

Driver · Southfield, MI

NPI number 1205409778 Active

Practice location

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1205409778

Eddie Kidd's National Provider Identifier is 1205409778, issued on Jul 21, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Southfield, MI. The record was last updated on Jul 21, 2021.