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

Kenyetta Elaine Kidd

Individual provider Developmental Therapist · NPI 1174704035

Kenyetta Elaine Kidd is a Developmental Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

910 N Jefferson St
Jacksonville, FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4544
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA6945 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1174704035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESNovember 20, 2007

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