Jason S. Kidd, PA-C
NPI #1093939183 in West Milford, West Virginia
Provider Information
- NPI Number
- 1093939183
- Entity Type
- Individual
- Name
- Jason S. Kidd, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 16, 2013
Practice Location
- Address
- 924 LIBERTY STREET
- City
- West Milford
- State
- West Virginia
- ZIP Code
- 26451
- Phone
- (304) 745-4568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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