Doctor Name: | KRISTIE KIDO |
NPI Number: | 1467721993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP 938 |
Business Practice Address: | 45-691 Keaahala Rd Room 30 Kaneohe, HI - 967443569 |
Business Phone Number: | 8082335495 |
Business Fax Number: | 8082335494 |
Mailing Address: | 45-691 Keaahala Rd, Room 30 KANEOHE |
State: | HI |
Postal Code: | 967443569 |
Phone Number: | 8082335495 |
Fax Number: | 8082335494 |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |