Individual provider · Type 1 NPI

Andrea Danielle Kidder, MA

Student in an Organized Health Care Education/Training Program · Northfield, IL

NPI number 1447730197 Active

Practice location

405 Central Ave
Northfield, IL 60093-3006

Call (847) 441-5600 Map

Fax (847) 441-7968

Mailing address

1641 N Milwaukee Ave Ste 7
Libertyville, IL 60048-1350

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447730197

Andrea Danielle Kidder, MA's National Provider Identifier is 1447730197, issued on Aug 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northfield, IL. The record was last updated on Aug 21, 2018.