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Ricky Kidman, PA-C
NPI 1962466532 · on the registry since 2006
Practice
- Address
- 51 11th Avenue
Aynor, SC 29511 - Phone
- (843) 358-3700
- Fax
- (843) 358-3707
- Organisation at this address
- Marion Physician Services Llc
Marion Regional Healthcare System
Conway Hospital Community ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1213 Elm St, Aynor, SC
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-21
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 South Carolina