Individual provider · Type 1 NPI
Leslie Kidd
Home Health Registered Nurse · Jenison, MI
NPI number
1568095222
Active
Practice location
8904 Cedar Lake Dr
Jenison, MI 49428-9462
Mailing address
3097 Prairie St SW
Grandville, MI 49418-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 4704260532 (MI) |
Home Health Registered Nurse: Definition to come...
About NPI 1568095222
Leslie Kidd's National Provider Identifier is 1568095222, issued on Feb 20, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Jenison, MI. The record was last updated on Feb 20, 2020.