Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY L KIDMAN, PA-C
ActiveRICKY L KIDMAN, PA-C is a Medical Physician Assistant healthcare provider located in AYNOR, South Carolina. NPI 1962466532 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · AYNOR, SC
Registration Details
- NPI Number
- 1962466532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2006 (20.156537455777 yrs)
- Last Updated
- Aug 21, 2025
- License
-
1094 (SC)
Practice Information
- Address
-
51 11TH AVENUEAYNOR, SC, 295113249Browse SC providers · Browse ZIP 29511
- Phone
- 8433583700
- Fax
- 8433583707
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in AYNOR, SC
| Name | Credential | NPI |
|---|---|---|
| FRITZ F FRYE | PA-C | 1124137237 |
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.