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

MR. JASON PETER KIDDE, PA

Active Sole Proprietor

MR. JASON PETER KIDDE, PA is a Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1750634507 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SALT LAKE CITY, UT

Registration Details

NPI Number
1750634507
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2012 (13.811866321756 yrs)
Last Updated
Feb 7, 2023
Licenses
016175 (NY)
9096169-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
389 S 900 E
SALT LAKE CITY, UT, 841022310
Browse UT providers · Browse ZIP 84102
Phone
3852822600
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. CHRIS LINDSEY PA-C 1689671737
DAVID S ANDERSON PAC 1356342539
NAOMI RUTH LAIRD PA-C 1053303420
MR. ROBERT TOTH PA-C, ATC 1386637940
MR. SEAN PATRICK STROPE PA-C 1922092147
TANYA CHESLEY PA-C 1477541506
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.