Individual
DR. MICHAEL T KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43318
AZ
207RH0000X
Hematology (Internal Medicine) Physician
MED-PHYS-LIC-39793
MT
207RH0003X
Hematology & Oncology Physician
106221
MN
207RH0003X
Hematology & Oncology Physician
55680
MN
207RH0003X
Hematology & Oncology Physician
Primary
MED-PHYS-LIC-39793
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01147096
MEDICARE RAILROAD
MN
Enumeration date
05/26/2009
Last updated
12/20/2023
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