SALLY M KIDMAN RN
NPI 1093334294
Registered Nurse - Diabetes Educator in Kalamazoo, MI

Q: What is Sally Kidman's NPI number?

The NPI number for Sally Kidman is 1093334294. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Q: What is Sally Kidman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Q: When was this NPI record last updated?

The NPPES record for Sally Kidman was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2020

535 S BURDICK ST STE 256, KALAMAZOO, MI 49007(269) 352-9977 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sally M Kidman Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY M KIDMAN RN (NPI 1093334294) is an individual diabetes educator provider in Kalamazoo, Michigan, licensed in Michigan (4704239762) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1093334294

Entity TypeIndividualFemale

Primary Taxonomy163WD0400X

Provider Legal NameSALLY M KIDMANCredential: RN

Location Address535 S BURDICK ST STE 256Kalamazoo, MI 49007-6112

Mailing Address5106 Fountain Square DrKalamazoo, MI 49009-9531 · (269) 352-9977

Phone(269) 352-9977

Sole ProprietorNo

Enumeration DateApril 9, 2020

NPPES CertifiedApril 9, 2020

✔ NPI 1093334294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in MI · 4704239762

535 S BURDICK ST STE 256, Kalamazoo, MI 49007

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIANA CASTANON WESTGATE MD

Dermatology

535 S BURDICK ST STE 256
KALAMAZOO, MI 49007

Kalamazoo County (269) 290-1901

COURTNEY L CONVERSE PA-C

Physician Assistant

535 S BURDICK ST STE 256
KALAMAZOO, MI 49007

Kalamazoo County (269) 290-1901

MRS. AUTUMN NICOLE HOPKINS PA-C

Physician Assistant

535 S BURDICK ST STE 256
KALAMAZOO, MI 49007

Kalamazoo County (269) 290-1901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Kidman's NPI number?

The NPI number for Sally Kidman is 1093334294. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Sally Kidman located?

Sally Kidman practices at 535 S Burdick St Ste 256, Kalamazoo, MI 49007. The listed phone number is (269) 352-9977.

What is Sally Kidman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Sally Kidman was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.