Individual
GERALD STEELE KIDD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13952 DENVER WEST PKWY STE 100, LAKEWOOD, CO 80401-3141
(303) 604-5000
(720) 890-0364
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004075
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90056868
—
CO
Enumeration date
03/30/2007
Last updated
04/17/2025
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