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Contact Information

THOMAS A KIDD JR, PAC
190 CAMPUS BLVD
SUITE 200
WINCHESTER, VA22601
 Phone: 540-662-0306
 Fax: 540-662-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THOMAS A KIDD JR · (Male)

NPI # 1053321075
Status Active
Credentials PAC
Entity Individual
Enumeration date 08/09/2006
Last updated 04/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0000621
  • WV License # 1053
  • Other 970016137 RAILROAD MEDICARE
Hospital affiliation(s)
  • CITY HOSPITAL - (Acute Care)
    2500 HOSPITAL DRIVE
    MARTINSBURG, WV 25401
  • JEFFERSON MEMORIAL HOSPITAL - (Critical Access)
    300 SOUTH PRESTON STREET
    RANSON, WV 25438
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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