NPI 1093939183

Jason S. Kidd, PAC

Practitioner Medical Physician Assistant West Milford, WV

Practice location

Address: 924 Liberty Street, West Milford, WV 26451
Phone: (304) 745-4568
Fax: (304) 326-3700
Mailing address: PO Box 217, Rock Cave, WV 26234-0217

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 01023 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1093939183
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2007
Record last updated: 16 Jul 2013

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.