Donna Deirdre Kidwell, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1091931 Issued in KY

Practice address

3865 Bluestone Rd
Morehead, KY 40351-9788

Phone

(606) 784-2392

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669572517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 BLUESTONE RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403519788",
            "telephone_number": "606-784-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 BLUESTONE RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403519788",
            "telephone_number": "606-784-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "DONNA",
        "middle_name": "DEIRDRE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KY",
            "license": "1091931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health & Surgery
• Kentucky Medical Services Foundation
• Cindy Lee Kerns, CADC
• Brent Douglas Kidd, D.M.D.
• Mollie Brennin Kilgallin, PHARMD
• Ian Kinder, DO
• Haylee Renee King
• Ronald A Kline, MD
• Kandi Knipp-Conn

• Case Management Registered Nurse in Morehead, KY
• Providers in Morehead, KY by specialty
• Case Management Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.