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KENNEDY R KIDRICK
NPI 1093531402
Counselor - Mental Health in Chehalis, WA

Active since December 02, 2024
409 S MARKET BLVD # 11, CHEHALIS, WA 98532(360) 360-2195 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kennedy R Kidrick NPPES

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

KENNEDY R KIDRICK (NPI 1093531402) is an individual mental health provider in Chehalis, Washington, licensed in Washington (61593286) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1093531402
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENNEDY R KIDRICK
Location Address409 S MARKET BLVD # 11Chehalis, WA 98532-3043
Mailing Address409 S Market Blvd # 11Chehalis, WA 98532-3043 · (360) 360-2195
Phone(360) 360-2195
Sole ProprietorNo
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1093531402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 61593286
409 S MARKET BLVD # 11, Chehalis, WA 98532
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Other Providers at the Same Location NPPES

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

SHELLY STRAND HIS
Hearing Instrument Specialist
409 S MARKET BLVD # 11
CHEHALIS, WA 98532
Lewis County (360) 996-4394

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 Kennedy Kidrick's NPI number?

The NPI number for Kennedy Kidrick is 1093531402. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Kennedy Kidrick located?

Kennedy Kidrick practices at 409 S Market Blvd # 11, Chehalis, WA 98532. The listed phone number is (360) 360-2195.

What is Kennedy Kidrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kennedy Kidrick was last updated on December 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.