JONATHAN J. KIDD CNIM – NPI #1295948560
Specialist/Technologist, Other

JONATHAN KIDD is a technologist located in MAPLEWOOD, MO. NPPES has assigned the NPI number 1295948560 to JONATHAN KIDD on May 07, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JAKE KIDD. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 6 years ago on Nov 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN KIDD below.

NPI Profile for
JONATHAN J. KIDD

NPI Number
1295948560
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN J. KIDD
Other Name: JAKE KIDD
Credentials
CNIM
Primary location
7746 RANNELLS AVE
MAPLEWOOD, MO 63143-1823
Phone: (217) 821-0759 Fax: (314) 552-7075
1 Other location(s):
1737 W Powers Ave
Littleton, CO 80120-1209
Phone: (217) 821-0759
Fax: (314) 552-7075
Mailing address
1737 W POWERS AVE
LITTLETON, CO 80120-1209
Phone: (217) 821-0759 Fax: (314) 552-7075
Sole Proprietor
No
Updated
Certification Date
Nov 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.