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

Justin L Kidd, PA

Individual provider Physician Assistant · NPI 1740279884

Justin L Kidd, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2002, 24 years ago. Practices with Optumcare Colorado Medical Group LLC, a 190-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1633 Medical Center Pt
Colorado Springs, CO 80907-5700
Phone: (719) 473-6155
Fax: (719) 473-3688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0003632 (CO)

Record details

NPI number1740279884
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Optumcare Colorado Medical Group Llc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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