Ricky L Kidman, PA-C is a medical physician assistant in Aynor, SC with 30 years of experience. Ricky L Kidman, PA-C NPI is 1962466532. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1994
The provider's business location address is:
51 11TH AVENUE
AYNOR, SC
ZIP 29511-249
Phone: (843) 358-3700
Fax: (843) 358-3707
The NPI 1962466532 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/12/2006 and was last updated on 12/18/2023.