Individual provider · Type 1 NPI

Laura R. Kidd, P.A.

Physician Assistant · Carbondale, IL

NPI number 1396842480 Active

Practice location

409 W Oak St
Carbondale, IL 62901-1414

Call (618) 529-4455 Map

Fax (618) 351-1287

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 217 S Park Ave Ste 2, Herrin, IL 62948-3611 · (618) 529-4455
  • 3905 W Ernestine Dr, Marion, IL 62959-5800 · (618) 529-4455
  • 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 · (618) 529-4455

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.002750 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

41 other providers at this address

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About NPI 1396842480

Laura R. Kidd, P.A.'s National Provider Identifier is 1396842480, issued on Sep 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 29, 2026.