Individual provider · Type 1 NPI

John Edward Kiddy Jr., MS, ATC, LAT, CSCS

Other Specialist/Technologist · Boca Raton, FL

NPI number 1013172543 Active

Practice location

777 Glades Rd
Boca Raton, FL 33431-6424

Call (561) 297-2043 Map

Fax (561) 297-0468

Mailing address

3109 San Clara Dr Apt A
Delray Beach, FL 33445-5430

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XAL2789 (FL)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

59 other providers at this address

Other other specialist/technologist providers in Boca Raton

See all in Boca Raton →

About NPI 1013172543

John Edward Kiddy Jr., MS, ATC, LAT, CSCS's National Provider Identifier is 1013172543, issued on Jul 24, 2008. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Boca Raton, FL. The record was last updated on Apr 24, 2012.