person
Jason S. Kidd, PA-C
Medical Physician Assistant in West Milford, West Virginia
NPI 1093939183

Jason S. Kidd is a Medical Physician Assistant based in Rock Cave, WV and is specialized in Medical. Jason S. Kidd practices in West Milford, WV and has the professional credentials of PA-C. The NPI Number for Jason S. Kidd is 1093939183 and holds a License No. 01023 (West Virginia).

The current practice location address for Jason S. Kidd is 924 Liberty Street, West Milford, WV and can be reached out via phone at 304-745-4568 and via fax at 304-326-3700.

Location: 924 Liberty Street, West Milford, WV, 26234-0217
person
Provider Profile Details
NPI Number
1093939183
Provider Name
Jason S. Kidd
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
924 Liberty Street, West Milford, WV, 26234-0217
Phone Number
304-745-4568
Fax Number
304-326-3700
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810010365 05 WV
institution
Provider Business Practice Location Address Details
Address
924 Liberty Street
City
State
Zip
26451
Phone Number
304-745-4568
Fax Number
304-326-3700
person
Provider Business Mailing Address Details
Address
924 Liberty Street
City
State
Zip
26451
Phone Number
304-745-4568
Fax Number
304-326-3700
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01023 (West Virginia)
Definition
Definition to come...
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