Individual
JOHN ROBERT KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 PASEO DEL PRADO, # B-207, LAS VEGAS, NV 89102-4358
(702) 873-4567
(702) 873-0414
Mailing address
324 GANNETT DR, STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8161
NV
207L00000X
Anesthesiology Physician
Primary
MD24096
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019867
—
NV
Enumeration date
06/30/2005
Last updated
04/20/2021
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