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

John Edward Kiddy Jr., MS, ATC, LAT, CSCS

Individual provider Other Specialist/Technologist · NPI 1013172543

John Edward Kiddy Jr., MS, ATC, LAT, CSCS is an Other Specialist/Technologist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

777 Glades Rd
Boca Raton, FL 33431-6424
Phone: (561) 297-2043
Fax: (561) 297-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence AL2789 (FL)

Record details

NPI number1013172543
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , CSCS
Sole proprietorYes
NPI enumeratedJuly 24, 2008
Last updated in NPPESApril 24, 2012

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