MARK E KIDD (NPI# 1750582763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750582763 |
| Entity Type | Individual |
| Full Name | MARK E KIDD |
| Practice Address |
200 Lutes Rd Paducah KY 42001-6114 |
| Practice Telephone | 2705549390 |
| Practice Fax Number | 2705549390 |
| Mailing Telephone | 2705549390 |
| Mailing Fax Number | 2705549390 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 06-14871 | KY | Suppliers |
| Street Address |
200 LUTES RD |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199182 | Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 120 Cave Thomas Dr Ste B, Paducah, KY 42001-5808 | 2019-08-16 |
| 1316479355 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 425 Broadway St Ste P, Paducah, KY 42001-0713 | 2017-03-29 |
| 1982026001 | Genesis Health Technologies, LLC | Durable Medical Equipment & Medical Supplies | 212 Lone Oak Rd, Paducah, KY 42001-4444 | 2014-01-08 |
| 1437583820 | Shelaker Enterprises LLC | Durable Medical Equipment & Medical Supplies | 2856 Lone Oak Rd, Paducah, KY 42003-8028 | 2013-08-21 |
| 1750724175 | Pamela J Chesser | Durable Medical Equipment & Medical Supplies | 180 Tyree Rd, Paducah, KY 42003-9408 | 2013-04-16 |
| 1073851416 | Shelaker Enterprises LLC | Durable Medical Equipment & Medical Supplies | 2856a Lone Oak Rd, Paducah, KY 42003-8028 | 2013-01-18 |
| 1285964791 | Timothy Ray Jones | Durable Medical Equipment & Medical Supplies | 116 Lone Oak Rd, Paducah, KY 42001-4442 | 2010-01-05 |
| 1740439553 | Purchase Orthopaedic Assoc. Psc | Durable Medical Equipment & Medical Supplies | 2605 Kentucky Ave Ste 103, Paducah, KY 42003-3800 | 2008-09-17 |
| 1558482091 | Family Life Medical and Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 120 Cave Thomas Dr, Suite B, Paducah, KY 42001-5808 | 2007-04-03 |
| 1548335532 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1051 Husband Rd, Paducah, KY 42003-0204 | 2006-11-22 |
| Find all providers in PADUCAH | ||||
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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.