Mr. Blaine Michael Kidd
Mr. Blaine Michael Kidd is a Student in an Organized Health Care Education/Training Program in West Lafayette, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
West Lafayette, INNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1700493483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 28, 2020 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
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