Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN EDWARD KIDDY JR., MS, ATC, LAT, CSCS
Active Sole ProprietorJOHN EDWARD KIDDY JR., MS, ATC, LAT, CSCS is a Specialist/Technologist, Surgical healthcare provider located in BOCA RATON, Florida. NPI 1013172543 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · BOCA RATON, FL
Registration Details
- NPI Number
- 1013172543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2008 (18.089335643315 yrs)
- Last Updated
- Apr 24, 2012
- License
-
AL2789 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
777 GLADES RDBOCA RATON, FL, 334316424Browse FL providers · Browse ZIP 33431
- Phone
- 5612972043
- Fax
- 5612970468
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in BOCA RATON, FL
| Name | Credential | NPI |
|---|---|---|
| MR. EDWARD L MARTIN | MLT-ASCP | 1760678189 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.