Individual
RODNEY DESMOND KIDD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7418 JOHN SMITH, SUITE 218, SAN ANTONIO, TX 78229-6020
(210) 614-0959
(210) 614-7522
Mailing address
7375 W 52ND AVE STE 210, ARVADA, CO 80002-3748
(303) 223-4448
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
CDR.0005235
CO
2085R0202X
Diagnostic Radiology Physician
Primary
L7452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185135405
—
TX
01
—
P00866534
MEDICARE RAILROAD
TX
Enumeration date
10/24/2006
Last updated
10/29/2025
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