IndividualActive
Jonathan Kidd, CNIM
NPI 1295948560 · Electroneurodiagnostic Specialist/Technologist · Maplewood, MO
Provider details
- NPI number
- 1295948560
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
Practice location
7746 Rannells Ave
Maplewood, MO 63143-1823
Phone: (217) 821-0759
Fax: (314) 552-7075
Mailing address
1737 W Powers Ave
Littleton, CO 80120-1209
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.