Individual provider · Type 1 NPI

Kenya Maisha Kidd, P.A.

Medical Physician Assistant · Seattle, WA

NPI number 1881601045 Active

Practice location

825 Eastlake Ave E
Seattle, WA 98109-4405

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60419034 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1881601045

Kenya Maisha Kidd, P.A.'s National Provider Identifier is 1881601045, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on May 9, 2014.