Individual
DR. SHAWN THOMAS KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
613 WESTLAKE ST STE 125A, ENCINITAS, CA 92024-3866
(760) 230-1228
Mailing address
613 WESTLAKE ST STE 125A, ENCINITAS, CA 92024-3866
(760) 230-1228
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC 31281
CA
Other
Enumeration date
06/01/2009
Last updated
03/09/2023
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