HENRY MATTHEWS KIDD JR.


Address: 613 Glen Eden Dr, Raleigh, NC 27612-5002
Phone: 9196241186

HENRY MATTHEWS KIDD JR. (NPI# 1932725017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932725017
Entity Type Individual
Full Name HENRY MATTHEWS KIDD JR.
Credential DDS
Practice Address 613 Glen Eden Dr
Raleigh
NC 27612-5002
Practice Telephone 9196241186
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program NC Student, Health Care

Office Location

Street Address 613 GLEN EDEN DR
City RALEIGH
State NC
Zip Code 27612-5002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538714068 George J Henderon Orthotist 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 2019-08-01
1902399223 Iain Knox Nathaniel Irwin Marriage & Family Therapist 7701 Alborz Dr, Raleigh, NC 27612 2018-06-12
1225525884 Patterns Behavioral Services North Carolina, Inc Assistant Behavior Analyst 3738 National Dr, Ste 110, Raleigh, NC 27612 2018-04-19
1053820720 The Art Counseling L.L.C. Psychologist 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 2017-09-26
1376052431 Amanda Steed Speech-Language Pathologist 5519 Hamstead Crossing, Raleigh, NC 27612 2017-09-21
1295250991 Neal H. Patel Dds Pllc Dentist 7211 Shellburne Dr, Raleigh, NC 27612 2017-08-03
1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
1780072975 Harris Teeter LLC Pharmacy 2051 W. Millbrook Road, Raleigh, NC 27612 2014-12-23
Find all providers in zip 27612

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376140632 Karla Flores Chavez Student in an Organized Health Care Education/Training Program 3624 Castlegate Dr, Raleigh, NC 27616-9551 2020-10-08
1144830977 Kiera Ann Quinn Student in an Organized Health Care Education/Training Program 8813 Miranda Dr, Raleigh, NC 27617-7675 2020-08-06
1639795487 Cameron Clark Student in an Organized Health Care Education/Training Program 701 Loch Highlands Dr, Raleigh, NC 27606-8432 2020-06-17
1942822069 Matthew Daniel Mcdowell Student in an Organized Health Care Education/Training Program 3614 Silver Forrest Ln, Raleigh, NC 27614-7331 2020-05-12
1386265486 Cayla Lauren Culbreth Student in an Organized Health Care Education/Training Program 8904 Sanctus Ln, Raleigh, NC 27613-5394 2020-04-29
1306466297 Jordan Daniel Taylor Student in an Organized Health Care Education/Training Program 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 2020-04-21
1326684879 Marcus Alan Bynum Student in an Organized Health Care Education/Training Program 2005 Rabbit Run, Raleigh, NC 27603-2783 2019-11-19
1306307467 Fadi Hanna Student in an Organized Health Care Education/Training Program 2304 Kendricks Ct, Raleigh, NC 27613-3678 2019-03-29
1992265565 Laura Barlow Moore Student in an Organized Health Care Education/Training Program 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 2019-03-20
1811455488 Inimfon E Ubom Student in an Organized Health Care Education/Training Program 521 The Greens Cir Apt 242, Raleigh, NC 27606 2019-03-03
Find all providers in RALEIGH

Competitor

Search similar providers

City RALEIGH
Zip Code 27612

Improve Information

Please comment or provide details below to improve the information on HENRY MATTHEWS KIDD JR..

Dataset Information

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.

Trending Searches