Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katelyn Nicole Kidd, MD

Individual provider Internal Medicine Physician · NPI 1720782956

Dr. Katelyn Nicole Kidd, MD is an Internal Medicine in Deerfield Beach, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone: (954) 876-2790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 — (954) 712-6356

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME182319 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720782956
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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