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

Kaitlin Shidell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558255968

Kaitlin Shidell is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4624 Boulder Bridge Way
Edmond, OK 73034-7081
Phone: (918) 408-9193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558255968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address4624 Boulder Bridge Way, Edmond, OK 73034-7081

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