Individual provider · Type 1 NPI
Keith L. Kidd, FNP-BC
Family Nurse Practitioner · Charleston, TN
NPI number
1811168941
Active
Practice location
9026 Hiwassee St NE
Charleston, TN 37310-5305
Fax (423) 584-6747
Mailing address
PO Box 15
Charleston, TN 37310-0015
Other practice locations
- 9026 Hiwassee St NE, Charleston, TN 37310-5305 · (423) 665-3666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 13254 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Charleston
About NPI 1811168941
Keith L. Kidd, FNP-BC's National Provider Identifier is 1811168941, issued on Mar 17, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, TN. The record was last updated on Oct 29, 2021.