Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN L KIDD, PA
ActiveJUSTIN L KIDD, PA is a Surgical Physician Assistant healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1740279884 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1740279884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.781562262308 yrs)
- Last Updated
- Dec 5, 2024
- Licenses
-
003902 (GA)PA-003632 (CO)
Practice Information
- Address
-
1633 MEDICAL CENTER PTCOLORADO SPRINGS, CO, 809075700Browse CO providers · Browse ZIP 80907
- Phone
- 7194736155
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in COLORADO SPRINGS, CO
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN K. COLBY III | P.A.-C | 1891797528 |
| DERRICK D KOOKER | P.A. | 1851373526 |
| TODD ALLEN LUFT | PAC | 1083699029 |
| KEVIN D PERCY | PAC | 1093792020 |
| MR. JAMES WILLIS SOUTH | PA-C | 1639149214 |
| DAVID G FARON | PA-C | 1306894464 |
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.