Maxine Kidder
P.N.P. | Nurse Practitioner - Pediatrics
139 Professional Pkwy, Lockport
New York, 14094-5369
716-433-6711
Maxine Kidder is a Lockport, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Maxine Kidder is 380525 for Pediatrics in New York. Her current practice location is 139 Professional Pkwy, Lockport. Patients can reach her at 716-433-6711 or can fax her at 716-433-0546. Maxine Kidder is P.N.P. with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1124084090.
Maxine Kidder specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Maxine Kidder speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Maxine Kidder |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | P.N.P. |
| Practice Address: | 139 Professional Pkwy, Lockport,
New York, 14094-5369 |
| Phone: | 716-433-6711 |
| Fax: | 716-433-0546 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124084090 |
| NPI Enumeration Date: | 21 Apr, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maxine Kidder are as mentioned below.
| License Number | Specialization | State | Status | |
| 380525 | Pediatrics | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Maxine Kidder such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000560073003 | Other | New York | BLUE CROSS/BLUE SHIELD |
| 9512424 | Other | New York | INDEPENDENT HEALTH |
| 01400724 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Maxine Kidder
139 Professional Pkwy,
Lockport, New York |
| Zip: | 14094-5369 |
| Phone Number: | 716-433-6711 |
| Fax Number: | 716-433-0546 |
Patients can reach Maxine Kidder at
139 Professional Pkwy, Lockport, New York or can
call to book an appointment on 716-433-6711.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.