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

Mr. Keith L Kidd, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1811168941

Mr. Keith L Kidd, FNP-BC is a Nurse Practitioner in Charleston, Tennessee. Qualified in 2007, 19 years ago. Practices with Preferred Family Medical Care LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2008
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

9026 Hiwassee St NE
Charleston, TN 37310-5305
Phone: (423) 665-3666
Fax: (423) 584-6747
Show map & directions

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

Additional practice locations (1)

  • 9026 Hiwassee St Ne, Charleston, TN 37310-5305 — (423) 665-3666

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13254 (TN)

Record details

NPI number1811168941
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 17, 2008
Last updated in NPPESOctober 29, 2021
Certification dateOctober 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Preferred Family Medical Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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