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Laurie Nathelle Kidd

Social Worker

Behavioral Health & Social Service Providers

2860 Mcclelland Dr. Suite 3400, Fort Collins, CO 80525

PECOS Enrollment

This provider is enrolled in PECOS as LAURIE KIDD.

Based on the most recent information from CMS, provider Laurie Nathelle Kidd is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1851512925
Provider Type
Individual
Full Name
Kidd, Laurie Nathelle
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2007
Last Updated
12/13/2023

Contact Information

Practice Location

2860 Mcclelland Dr. Suite 3400, Fort Collins, CO 80525

(866) 285-2929

(208) 567-5844

Mailing Location

155 S Madison St Ste 306, Denver, CO 80209-3014

(866) 285-2929

(208) 567-5844

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Laurie Nathelle Kidd

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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