John Graydon Kidd, MD
Family Medicine in Wakefield, Massachusetts
1316056815- Practice location
- 33 Avon St, Wakefield, MA 01880-2310
- Phone
- 781-245-0402
- Fax
- —
- Last updated
- September 1, 2011
John Graydon Kidd is a Family Medicine based in Wakefield, MA. John Graydon Kidd practices in Wakefield, MA and has the professional credentials of MD. The NPI Number for John Graydon Kidd is 1316056815 and holds a License No. 40277 (MA). The current practice location address for John Graydon Kidd is 33 Avon St, Wakefield, MA 01880-2310 and can be reached out via phone at 781-245-0402.
Provider Profile Details
- NPI Number
- 1316056815
- Provider Name
- John Graydon Kidd
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33 Avon St, Wakefield, MA 01880-2310
- Phone Number
- 781-245-0402
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2006
- Last Update Date
- September 1, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Avon St
Wakefield, MA 01880-2310 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-2310
- Phone Number
- 781-245-0402
Provider Business Mailing Address Details
- Address
- 33 Avon St
P O Box 430
Wakefield, MA 01880-2310 - City
- Wakefield
- State
- MA
- Zip
- 01880-2310
- Phone Number
- 781-245-0402
- Fax Number
- 781-246-0847
License Information
- License Number
- 40277
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John Graydon Kidd, MD?
The NPI number of John Graydon Kidd, MD is 1316056815. It was assigned on August 29, 2006 and is currently active in the NPPES registry.
What is the specialty of John Graydon Kidd, MD?
John Graydon Kidd, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 40277.
Where does John Graydon Kidd, MD practice?
The practice location is 33 Avon St, Wakefield, MA 01880-2310. The office can be reached at 781-245-0402 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316056815 directly on the NPPES registry website.