DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHASE KIDMAN

MEDICARE: CHASE KIDMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1932963402
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE KIDMAN
Provider Business Mailing Address
First Line : 348 E 600 S
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-3949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1789 N WEDGEWOOD LN
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-7769
Country : US
Telephone Number : 435-705-7574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 02/06/2024

Similar Medicare Providers

1760132625 — DAVID BERNARD GUERTLER LCSW
Practice Location Address:
1789 N WEDGEWOOD LN STE 1
CEDAR CITY, UT
84721-7769
Practice Phone: 435-703-9647
Practice Fax: 435-703-6003
1629760673 — VICTORIA SCHAEFERMEYER
Practice Location Address:
1789 N WEDGEWOOD LN
CEDAR CITY, UT
84721-7769
Practice Phone: 435-705-7574
Practice Fax:
1619741626 — SAMUEL BAILEY
Practice Location Address:
1789 N WEDGEWOOD LN
CEDAR CITY, UT
84721-7769
Practice Phone: 435-705-7574
Practice Fax:
1831953306 — KEVIN PEREZ
Practice Location Address:
1789 N WEDGEWOOD LN
CEDAR CITY, UT
84721-7769
Practice Phone: 435-705-7574
Practice Fax:
1295590669 — AFTON HAYS
Practice Location Address:
1789 N WEDGEWOOD LN
CEDAR CITY, UT
84721-7769
Practice Phone: 435-705-7574
Practice Fax:
1417712894 — DUSTIN IRVIN
Practice Location Address:
1789 N WEDGEWOOD LN
CEDAR CITY, UT
84721-7769
Practice Phone: 435-705-7574
Practice Fax:

Directions to “ CHASE KIDMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.