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Stephanie S Kidd, DO

Family Medicine Physician in Roanoke, IN · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689194813

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Registry record

Entity type Individual (Type 1)
Name Stephanie S Kidd
Credential DO
Sex Female
Practice address 10101 Ernst Rd Ste 1200, Roanoke, IN, 46783
Fax (260) 235-5410
Enumeration date Jun 20, 2017
Last updated in NPPES Jan 9, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02005696A (IN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
300028933 Medicaid IN -
000001525777 Other IN ANTHEM PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Stephanie Kidd practice?
The practice location on file with NPPES is in Roanoke, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Stephanie Kidd?
The National Provider Identifier (NPI) for Stephanie Kidd is 1689194813, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-09.