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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN L KIDD, PA

Active

JUSTIN 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 (20.781385046884 yrs)
Last Updated
Dec 5, 2024
Licenses
003902 (GA)
PA-003632 (CO)

Practice Information

Address
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO, 809075700
Browse 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.