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Individual

DR. MICHAEL GENE KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8707
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8707

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
33076
NC
207L00000X
Anesthesiology Physician
Primary
33076
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
33076
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48929
BCBS/STATE
NC
05
8948929
NC
05
N33076
SC
Enumeration date
07/20/2005
Last updated
02/17/2026
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