| Kevin J Kidd, | |
|
12355 Depaul Drive, Bridgeton, MO 63044 | |
| (314) 344-7200 | |
| Not Available |
| Full Name | Kevin J Kidd |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12355 Depaul Drive, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770609901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2015000874 (Missouri) | Primary |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Kidd, 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 Ph: (314) 206-3700 | Kevin J Kidd, 12355 Depaul Drive, Bridgeton, MO 63044 Ph: (314) 344-7200 |
Ericka Renee Cables, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11520 Saint Charles Rock Rd Ste 101, Bridgeton, MO 63044 Phone: 314-312-2551 Fax: 314-227-9331 | |
Mr. George Joeseph Knoechel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3956 Fax: 314-206-3992 | |
Stacy V Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12377 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7183 | |
Ms. Sarah Nicole Bauer, MA Counselor Medicare: Medicare Enrolled Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3929 Fax: 314-206-3992 | |
Mrs. Valerie J Bowman, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Azra Tiedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 | |
Pierre Love, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 |