Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domiziana Kidd, PA-C

Individual provider Physician Assistant · NPI 1558110361

Domiziana Kidd, PA-C is a Physician Assistant in Winston Salem, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-9152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558110361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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