David M Kidder, DO
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Anaconda, MT
NPI 1346293149 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1346293149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 4425 (MT)
- Practice address
- 401 W Pennsylvania St
Anaconda, MT 59711-1931 - Phone
- (406) 563-8500
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4425 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4425 | MT | Yes |
Addresses
Primary practice location
401 W Pennsylvania St
Anaconda, MT 59711-1931
Mailing address
401 W Pennsylvania St
Anaconda, MT 59711-1931
Phone (406) 563-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346293149 | Other | MT | 1346293149 |
Other providers in Anaconda, MT
- Chloe Jones
- Karan Ann Jones
- Deborah Kalarchik
- Robert John Kelley
- Ingrid Kelly
- Lindsey King
- Craig Kolpin
- Kandace Konola
- Lisa Rose Krzan
- Kelsie Elizabeth Larson
All providers in Anaconda, MT · Emergency Medical Services (Emergency Medicine) Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.