Kidd Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11024 Issued in FL

Legal business name

KIDD FAMILY CHIROPRACTIC LLC

Practice address

9371 Cypress Lake Dr
Suite 2
Fort Myers, FL 33919-4939

Phone

(239) 433-0048

Fax

(239) 433-4672

NPI assigned

Oct 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany Kidd, DC

Title

Owner

Phone

(239) 433-0048

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629529904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-433-0048",
            "fax_number": "239-433-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-433-0048",
            "fax_number": "239-433-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-433-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malek Khawaja
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• Banafsheh Kiankhooy Fard, M.D.
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• Kid Talk Speech Therapy Services Inc
• Kids Academy Therapy Center Corp
• Kidspace Behavioral Therapy LLC
• Kidz Pediatric Multispecialty
• Elisabeth Kieffer, M.A., L.M.H.C.
• Anjanet Kiesel, MA, LMHC

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.