Ms Candace Kidd, is a
Licensed Practical Nurse based in Peck, Michigan. Ms Candace Kidd is licensed to practice in Michigan (license number 470308191) and her current practice location is
5366 Sandusky Rd, Peck, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 378-5595.
NPI number for Ms Candace Kidd is 1265999361 and her current mailing address is 5366 Sandusky Rd, Peck, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265999361.
Provider's Profile
Full Name | Ms Candace Kidd |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5366 Sandusky Rd, Peck, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265999361
- Provider Enumeration Date: 02/25/2019
- Last Update Date: 02/25/2019
Medical Identifiers
Medical identifiers for Ms Candace Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265999361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 470308191 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Candace Kidd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Candace Kidd, 5366 Sandusky Rd, Peck, MI 48466-9791 Ph: (810) 378-5595 | Ms Candace Kidd, 5366 Sandusky Rd, Peck, MI 48466-9791 Ph: (810) 378-5595 |
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