Individual provider · Type 1 NPI

Carl Kidd Jr.

Student in an Organized Health Care Education/Training Program · London, KY

NPI number 1861889057 Active

Practice location

1733 Marydell Rd
London, KY 40741-8631

Call (606) 231-2511 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1861889057

Carl Kidd Jr.'s National Provider Identifier is 1861889057, issued on Apr 25, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in London, KY. The record was last updated on Apr 25, 2015.