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Blaine Kidd
NPI 1700493483 · on the registry since 2020
Practice
- Address
- 900 N John R Wooden Dr
West Lafayette, IN 47907 - Phone
- (800) 497-7678
- Organisation at this address
- Thomas A Brady Sports Medicine Center, Pc
Purdue University Sports Medicine West LafayetteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Male
- Record last updated
- 2023-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana