Ronald Curtis Kidder, LP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301002467 Issued in MI

Practice address

376 E Apple Avenue
Muskegon, MI 49442

Phone

(231) 724-1111

Fax

(231) 724-3348

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790883635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FRANKLIN",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-744-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E APPLE AVENUE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-724-1111",
            "fax_number": "231-724-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "RONALD",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301002467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "RK002467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Keyes, CRNA
• Sarah E Keyes, MSN, APRN, FNP-C
• Zia Ahmed Khan, MD
• Rachael Marie Khodl, PA-C
• Basma Fawzi Khudhur, PHARMD
• Ray F Kiefer, MD
• Kelly Marie Kieffer, PHARMD
• Kristine Marie Kieft
• Hilary Grace Kiely, LMSW
• Patrick Kiely

• Cognitive & Behavioral Psychologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• 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.