Individual provider · Type 1 NPI

Adam Jason Kidd, M.A.

Student in an Organized Health Care Education/Training Program · Santa Monica, CA

NPI number 1346434677 Active

Practice location

3201 Wilshire Blvd, Suite 201
Santa Monica, CA 90403-2344

Call (310) 829-7997 Map

Fax (310) 829-7868

Mailing address

63 Rockinghorse Rd
Rancho Palos Verdes, CA 90275-6569

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346434677

Adam Jason Kidd, M.A.'s National Provider Identifier is 1346434677, issued on Aug 29, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 29, 2007.