MEDICARE: RODNEY DESMOND KIDD JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	CDR.0005235	CO
2	2085R0202X	Diagnostic Radiology Physician	L7452	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00866534	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053494674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY DESMOND KIDD JR. M.D.

Provider Business Mailing Address
First Line	:	7375 W 52ND AVE STE 210
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80002-3748
Country	:	US
Telephone Number	:	303-223-4448
Fax Number	:

Provider Business Practice Location Address
First Line	:	7418 JOHN SMITH
Second Line	:	SUITE 218
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6020
Country	:	US
Telephone Number	:	210-614-0959
Fax Number	:	210-614-7522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	10/29/2025

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Directions to “ RODNEY DESMOND KIDD JR. M.D.” Practice Location

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