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Contact Information

JAMIE C KIDDER, NP-C
6500 E 2ND ST
CASPER, WY82609-4338
 Phone: 307-995-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAMIE C KIDDER · (Female)

NPI # 1114402849
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 09/28/2018
Last updated 11/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 19956.1807
Hospital affiliation(s)
  • CAMPBELL COUNTY MEMORIAL HOSPITAL - (Acute Care)
    501 SOUTH BURMA AVENUE
    GILLETTE, WY 82716
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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