Individual
KIMBERLY M EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3238 CAPITAL AVE SW, BATTLE CREEK, MI 49015-4302
(269) 979-6432
Mailing address
235 E CHICAGO ST STE 1, COLDWATER, MI 49036-1789
(517) 279-8465
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
4704265679
MI
367A00000X
Advanced Practice Midwife
Primary
4704265679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336797794
—
MI
Enumeration date
08/29/2019
Last updated
06/28/2024
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