Ricky L Kidman, PA-C
NPI #1962466532 in Aynor, South Carolina
Provider Information
- NPI Number
- 1962466532
- Entity Type
- Individual
- Name
- Ricky L Kidman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 51 11TH AVENUE
- City
- Aynor
- State
- South Carolina
- ZIP Code
- 29511-3249
- Phone
- (843) 358-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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