Individual
MARY KIDDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
2601 40TH AVE S, MINNEAPOLIS, MN 55406-1862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113653-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200702
MEDICA
MN
01
—
127696
UCARE
MN
01
—
72Q60KI
BCBS
MN
01
—
HP30371
HEALTH PARTNERS
MS
01
—
NA9021022925
PREFERRED ONE
MN
Enumeration date
04/03/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us