Kidd, John Robert

Kidd, John Robert is an individual health care provider with primary practice located at 2320 Paseo Del Prado # B-207, Las Vegas NV 89102-4358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kidd, John Robert can be contacted via phone (702) 873-4567.

Contact Information

Primary practice address
2320 Paseo Del Prado # B-207 Las Vegas NV 89102-4358
Phone: (702) 873-4567
Fax: (702) 873-0414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD24096 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8161 Nevada

Profile Details

NPI number 1598762098
LBN Legal business name Kidd, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 20th, 2021 - about 3 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 1598762098 NPPES
Nevada MEDICAID 002019867

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