DR. KRISTIN MARIE KIDGELL (NPI# 1720170434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720170434 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN MARIE KIDGELL |
| Credential | DC |
| Practice Address |
5627 Gulfport Blvd S Gulfport FL 33707-4828 |
| Practice Telephone | 7276372957 |
| Practice Fax Number | 5054558741 |
| Mailing Telephone | 7276372957 |
| Mailing Fax Number | 5054558741 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7937 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROV NUMBER | 53914 | 01 |
| Street Address |
5627 GULFPORT BLVD S |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508167081 | Probeck Chiropractic Clinic, Inc. | Chiropractor | 5627 Gulfport Blvd S, Gulfport, FL 33707-4828 | 2010-11-15 |
| 1295875458 | David Thomas Hobbs | Chiropractor | 5627 Gulfport Blvd S, Gulfport, FL 33707 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297123 | Shelby Wittorf | Chiropractor | 370 Courthouse Rd Ste 101, Gulfport, MS 39507-1889 | 2019-10-25 |
| 1104312735 | Anthony William Lopez Jr. | Chiropractor | 15007 Creosote Rd Ste A, Gulfport, MS 39503-4392 | 2018-07-06 |
| 1578929329 | Marissa Lyn Hols | Chiropractor | 6320 7th Ave S, Gulfport, FL 33707-2305 | 2016-01-10 |
| 1083088488 | William Bankester | Chiropractor | 8950 Lorraine Rd Ste C, Gulfport, MS 39503-4183 | 2015-11-23 |
| 1063805083 | Dr. Elizabeth A. Douglas D.c. | Chiropractor | 4933 14th Ave S, Gulfport, FL 33707-3622 | 2015-03-16 |
| 1083042170 | Brandon Hardin | Chiropractor | 370 Courthouse Rd, 101, Gulfport, MS 39507-1889 | 2013-10-29 |
| 1285060954 | Lance Ellis Cleveland | Chiropractor | 45 Hardy Court Ctr, Ste. 103, Gulfport, MS 39507-2501 | 2013-09-25 |
| 1386905412 | Back Room | Chiropractor | 15312 Dedeaux Rd, Suite A, Gulfport, MS 39503-3123 | 2012-06-05 |
| 1083999130 | Katanya D Ford | Chiropractor | 1243 28th St Ste A, Gulfport, MS 39501-6203 | 2011-10-19 |
| 1013151638 | Bradford Joseph Dewitt | Chiropractor | 15465 Oak Ln Ste 100b, Gulfport, MS 39503-2663 | 2009-04-27 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.