NPI 1013172543

John Edward Kiddy, MSATCLATCSCS

Practitioner Other Specialist/Technologist Boca Raton, FL

Practice location

Address: 777 Glades Rd, Boca Raton, FL 33431-6424
Phone: (561) 297-2043
Fax: (561) 297-0468
Mailing address: 3109 San Clara Dr APT a, Delray Beach, FL 33445-5430

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence AL2789 (FL)

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1013172543
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2008
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.