Kidd, Jeffrey Alan

Kidd, Jeffrey Alan is an individual health care provider with primary practice located at 152 Treemonte Dr , Orange City FL 32763-7953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kidd, Jeffrey Alan can be contacted via phone (386) 951-6684.

Contact Information

Primary practice address
152 Treemonte Dr Orange City FL 32763-7953
Phone: (386) 951-6684
Fax: (386) 960-8948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME68980 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME68980 Florida

Profile Details

NPI number 1497717276
LBN Legal business name Kidd, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 11th, 2019 - about 5 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 1497717276 NPPES
Florida Other 51540 BC/BS

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