| Doctor Name: | WILLIAM RICHARD KIDD |
| NPI Number: | 1609862101 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C. |
| License Number: | CHIA 371 |
| Business Practice Address: | 1265 El Camino Real Suite 101 Santa Clara, CA - 950504257 |
| Business Phone Number: | 4082488392 |
| Business Fax Number: | 4082483532 |
| Mailing Address: | 1265 El Camino Real, Suite 101 SANTA CLARA |
| State: | CA |
| Postal Code: | 950504257 |
| Phone Number: | 4082488392 |
| Fax Number: | 4082483532 |
| NPI Enumeration Date: | 09/21/2005 |
| NPI Last Update Date: | 02/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | CHIA 371 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |