JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
NPI 1013172543
Specialist/Technologist, Other in Boca Raton, FL

Active since July 24, 2008
777 GLADES RD, BOCA RATON, FL 33431(561) 297-2043(561) 297-0468 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Edward Kiddy Jr. Ms, Atc, Lat, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS (NPI 1013172543) is an individual specialist/technologist, other provider in Boca Raton, Florida, licensed in Florida (AL2789) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1013172543
Entity TypeIndividualMale
Primary Taxonomy246Z00000X
Provider Legal NameJOHN EDWARD KIDDY JR.Credential: MS, ATC, LAT, CSCS
Location Address777 GLADES RDBoca Raton, FL 33431-6424
Mailing Address3109 San Clara Dr Apt ADelray Beach, FL 33445-5430
Fax(561) 297-0468
Sole ProprietorYes
Enumeration DateJuly 24, 2008
Last NPPES UpdateApril 24, 2012
NPI 1013172543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License Licensed in FL · AL2789
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
777 GLADES RD, Boca Raton, FL 33431

Other Identifiers 1

Other03070219Nataboc Certified Athletic Trainer

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
777 GLADES RD
BOCA RATON, FL 33431
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Alzheimer Center (Dementia Center)
777 GLADES RD, OFFICE BUILDING 1
BOCA RATON, FL 33431
Student in an Organized Health Care Education/Training Program
777 GLADES RD
BOCA RATON, FL 33431
Nurse Practitioner (Adult Health)
777 GLADES RD
BOCA RATON, FL 33431
Nurse Practitioner (Psychiatric/Mental Health)
777 GLADES RD
BOCA RATON, FL 33431
Psychiatry & Neurology (Neurology)
777 GLADES RD, OFFICE BUILDING 1 FIRST FLOOR
BOCA RATON, FL 33431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kiddy's NPI number?

The NPI number for John Kiddy is 1013172543. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is John Kiddy located?

John Kiddy practices at 777 Glades Rd, Boca Raton, FL 33431. The listed phone number is (561) 297-2043.

What is John Kiddy's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for John Kiddy was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.