Individual provider · Type 1 NPI
Richard Kidd
Nurse Practitioner · Summerville, SC
Practice location
602 Main Street
Summerville, SC 29483-6627
Mailing address
PO Box 602108
Charlotte, NC 28260-2108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 85279 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1629456983
Richard Kidd's National Provider Identifier is 1629456983, issued on May 7, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Summerville, SC. The record was last updated on May 7, 2015.