Individual provider · Type 1 NPI
Jason S. Kidd, PA-C
Medical Physician Assistant · West Milford, WV
NPI number
1093939183
Active
Practice location
924 Liberty Street
West Milford, WV 26451
Fax (304) 326-3700
Mailing address
PO Box 217
Rock Cave, WV 26234-0217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 01023 (WV) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1093939183
Jason S. Kidd, PA-C's National Provider Identifier is 1093939183, issued on Apr 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Milford, WV. The record was last updated on Jul 16, 2013.