Cynthia Corrinne Kidd III

Individual provider Active NPI Day Training/Habilitation Specialist · Glennallen, AK

NPI 1992835805 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1992835805
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
128 Scenega
Glennallen, AK 99588
Phone
(907) 822-3384
Fax
(907) 822-5484
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X
Adult Companion 372600000X
Day Training/Habilitation Specialist 373H00000X Yes
Attendant Care Provider 3747A0650X
Personal Care Attendant 3747P1801X
Home Health Aide 374U00000X

Addresses

Primary practice location

128 Scenega
Glennallen, AK 99588

Mailing address

PO Box 9
Chitina, AK 99566
Phone (907) 441-1720

Other providers in Glennallen, AK

All providers in Glennallen, AK · Day Training/Habilitation Specialist in Alaska

Sources for this page

Verify at the official NPI Registry.