person
Justin L Kidd, PA
Surgical Physician Assistant in Colorado Springs, Colorado
NPI 1740279884

Justin L Kidd is a Surgical Physician Assistant based in Las Vegas, CO and is specialized in Surgical. Justin L Kidd practices in Colorado Springs, CO and has the professional credentials of PA. The NPI Number for Justin L Kidd is 1740279884 and holds a License No. 003902 (Colorado).

The current practice location address for Justin L Kidd is 1633 Medical Center Pt, Colorado Springs, CO and can be reached out via phone at 719-473-6155.

Location: 1633 Medical Center Pt, Colorado Springs, CO, 89133-5380
person
Provider Profile Details
NPI Number
1740279884
Provider Name
Justin L Kidd
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1633 Medical Center Pt, Colorado Springs, CO, 89133-5380
Phone Number
719-473-6155
Fax Number
Provider Enumeration Date
10/20/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38527057 05 CO
institution
Provider Business Practice Location Address Details
Address
1633 Medical Center Pt
City
State
Zip
80907-5700
Phone Number
719-473-6155
Fax Number
person
Provider Business Mailing Address Details
Address
1633 Medical Center Pt
City
State
Zip
80907-5700
Phone Number
719-473-6155
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
003902 (Georgia)
Definition
Definition to come...
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