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NPI Profile for JASON S KIDD in WEST MILFORD, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1093939183 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 04/12/2007 | |
| Last updated | 07/16/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JASON S KIDD
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JASON S KIDD, PA-C