Kidd, Michael Gene

Kidd, Michael Gene is an individual health care provider with primary practice located at 2817 Rock Merritt Ave , Fort Bragg NC 28310-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kidd, Michael Gene can be contacted via phone (910) 907-8707.

Contact Information

Primary practice address
2817 Rock Merritt Ave Fort Bragg NC 28310-0001
Phone: (910) 907-8707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 33076 North Carolina
Other Service Providers / Specialist 174400000X 33076 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33076 North Carolina

Profile Details

NPI number 1720087836
LBN Legal business name Kidd, Michael Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 17th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720087836 NPPES
North Carolina MEDICAID 8948929
North Carolina MEDICAID N33076
North Carolina Other 48929

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