Healthcare Provider Details

I. General information

NPI: 1952306318
Provider Name (Legal Business Name): KELLIE A KIDD CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 W 10TH AVENUE STE 100
COLUMBUS OH
43210
US

IV. Provider business mailing address

700 ACKERMAN RD
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-6638
  • Fax: 614-293-5614
Mailing address:
  • Phone: 614-947-3700
  • Fax: 614-947-3771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number07581NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA07581NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: