Shannon Michelle Kidd, SLP is a
Speech-language Pathologist based in Pine Knot, Kentucky. Shannon Michelle Kidd is licensed to practice in Kentucky (license number KY-2595) and her current practice location is
93 Link Dr, Pine Knot, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 310-9795.
NPI number for Shannon Michelle Kidd is 1356439806 and her current mailing address is 93 Link Dr, Pine Knot, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356439806.
Healthcare Provider's Profile
Full Name | Shannon Michelle Kidd |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 93 Link Dr, Pine Knot, Kentucky |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356439806
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shannon Michelle Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356439806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | KY-2595 (Kentucky) | 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. Shannon Michelle 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 |
Shannon Michelle Kidd, SLP 93 Link Dr, Pine Knot, KY 42635-9155 Ph: (606) 310-9795 | Shannon Michelle Kidd, SLP 93 Link Dr, Pine Knot, KY 42635-9155 Ph: (606) 310-9795 |
Reviews and Comments