Kidd, James

Kidd, James is an sole proprietor health care provider with primary practice located at 313 Princeton Rd Ste 3 , Johnson City TN 37601. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kidd, James can be contacted via phone (423) 282-5435.

Contact Information

Primary practice address
313 Princeton Rd Ste 3 Johnson City TN 37601
Phone: (423) 282-5435
Fax: (423) 282-5767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305006625 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1935 Tennessee

Profile Details

NPI number 1376674051
LBN Legal business name Kidd, James
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376674051 NPPES
Tennessee MEDICAID 1515214

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