Shanna Kidd, PA-C

NPI #1851616916 in Odessa, Texas

Provider Information

NPI Number: 1851616916
Entity Type: Individual
Name: Shanna Kidd, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 1, 2010
Last Updated: Nov 12, 2010

Practice Location

Address: 701 W 5TH ST
City: Odessa
State: Texas
ZIP Code: 79763-4206
Phone: (432) 335-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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