MR. BLAINE KIDD
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1700493483
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | - |
Frequently Asked Questions
NPI 1700493483 is the National Provider Identifier for MR. BLAINE KIDD, a Specialist/Technologist - Athletic Trainer provider located in West Lafayette, IN. This NPI was enumerated on September 28, 2020.
MR. BLAINE KIDD practices at 900 N JOHN R WOODEN DR, West Lafayette, IN 47907.
Quick Facts
- NPI
- 1700493483
- Type
- Individual
- Enumerated
- Sep 28, 2020
- Last Updated
- May 26, 2023
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