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DR. KIMBERLY K KIDNER D.C.
NPI 1093896680
Chiropractor in Pontiac, IL

Active since October 18, 2006Accepts Medicare Assignment
402 N. PLUM ST., PONTIAC, IL 61764(815) 844-4631(815) 844-1942 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly K Kidner D.c. NPPES

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

DR. KIMBERLY K KIDNER D.C. (NPI 1093896680) is an individual chiropractor in Pontiac, Illinois, licensed in Illinois (038-008659) and active in the NPI registry since October 2006. She is a graduate of Palmer College Chiropractic - Davenport (1998).

NPPES Registry Identity

NPI1093896680
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KIMBERLY K KIDNERCredential: D.C.
Location Address402 N. PLUM ST.Pontiac, IL 61764-9786
Mailing Address402 N Plum StPontiac, IL 61764-1817 · (815) 844-4631 · Fax (815) 844-1942
Phone(815) 844-4631
Fax(815) 844-1942
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1998
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 12, 2012
✔ NPI 1093896680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-008659
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
402 N. PLUM ST., Pontiac, IL 61764
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly K Kidner D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002704640
PECOS Enrollment IDI20040305001100

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,449 services88 patients

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 Kimberly Kidner's NPI number?

The NPI number for Kimberly Kidner is 1093896680. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Kimberly Kidner located?

Kimberly Kidner practices at 402 N. Plum St., Pontiac, IL 61764. The listed phone number is (815) 844-4631.

What is Kimberly Kidner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kimberly Kidner enrolled in Medicare?

Yes. Kimberly Kidner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Kidner was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.