Individual
MRS. TRACIE L KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
291 WAYCROSS WAY, ARNOLD, MD 21012
(410) 647-2510
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01796
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904
—
MD
Enumeration date
05/23/2007
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