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John Edward Kiddy JR., MS,ATC,LAT,CSCS
Other Specialist/Technologist in Boca Raton, Florida
NPI 1013172543

John Edward Kiddy JR. is a Other Specialist/Technologist based in Delray Beach, FL. John Edward Kiddy JR. practices in Boca Raton, FL and has the professional credentials of MS,ATC,LAT,CSCS. The NPI Number for John Edward Kiddy JR. is 1013172543 and holds a License No. AL2789 (Florida).

The current practice location address for John Edward Kiddy JR. is 777 Glades Rd, Boca Raton, FL and can be reached out via phone at 561-297-2043 and via fax at 561-297-0468.

Location: 777 Glades Rd, Boca Raton, FL, 33445-5430
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Provider Profile Details
NPI Number
1013172543
Provider Name
John Edward Kiddy JR.
Credential
MS,ATC,LAT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
777 Glades Rd, Boca Raton, FL, 33445-5430
Phone Number
561-297-2043
Fax Number
561-297-0468
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03070219 01 NATABOC CERTIFIED ATHLETIC TRAINER
institution
Provider Business Practice Location Address Details
Address
777 Glades Rd
City
State
Zip
33431-6424
Phone Number
561-297-2043
Fax Number
561-297-0468
person
Provider Business Mailing Address Details
Address
777 Glades Rd
City
State
Zip
33431-6424
Phone Number
561-297-2043
Fax Number
561-297-0468
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
AL2789 (Florida)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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