Allison Carlo Kidwell, DO | |
802 W King St Ste M, Owosso, MI 48867-2100 | |
(989) 729-4100 | |
(989) 729-4066 |
Full Name | Allison Carlo Kidwell |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 802 W King St Ste M, Owosso, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912357146 | NPI | - | NPPES |
1912357146 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101024617 (Michigan) | Primary |
Entity Name | Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
Mailing Address | Practice Location Address |
---|---|
Allison Carlo Kidwell, DO 802 W King St Ste M, Owosso, MI 48867-2100 Ph: (989) 729-4100 | Allison Carlo Kidwell, DO 802 W King St Ste M, Owosso, MI 48867-2100 Ph: (989) 729-4100 |
Jeffrey A Kepes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 317 S Elm St Ste 205a, Owosso, MI 48867 Phone: 989-729-4317 Fax: 989-725-9979 | |
Maria Budai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 802 W King St, Suite J, Owosso, MI 48867 Phone: 989-725-6210 | |
Mrs. Manjali Sushil Shastry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1787 S M 52, Owosso, MI 48867 Phone: 989-729-4600 Fax: 989-725-5760 | |
Michael Bryan Kramer, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 802 W King St Ste M, Owosso, MI 48867 Phone: 989-729-4100 Fax: 989-729-4066 | |
Julie Creighton Sovis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 802 W King St Ste M, Owosso, MI 48867 Phone: 989-729-4100 Fax: 989-729-4066 |