Individual
JOHN EDWARD KIDDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
AL2789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03070219
NATABOC CERTIFIED ATHLETIC TRAINER
—
Enumeration date
07/24/2008
Last updated
04/24/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up