Healthcare Provider Details

I. General information

NPI: 1164339255
Provider Name (Legal Business Name): MRS. BRITNEY KIDD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 N 25TH ST
MILWAUKEE WI
53205-1000
US

IV. Provider business mailing address

2809 N 46TH ST
MILWAUKEE WI
53210-1751
US

V. Phone/Fax

Practice location:
  • Phone: 414-934-4926
  • Fax:
Mailing address:
  • Phone: 414-439-5456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: