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

Ricky L Kidman, PA-C

Individual provider Medical Physician Assistant · NPI 1962466532

Ricky L Kidman, PA-C is a Physician Assistant in Aynor, South Carolina. Graduated from University of Nebraska College of Medicine in 1994, 32 years ago. Practices with Conway Hospital Community Services, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
32
Trained at
University of Nebraska College of Medicine
Licensed in
SC
In the registry since
2006
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

51 11th Ave
Aynor, SC 29511-3249
Phone: (843) 358-3700
Fax: (843) 358-3707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1213 Elm St, Aynor, SC 29511-3320 — (843) 358-5806

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1094 (SC)

Record details

NPI number1962466532
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Conway Hospital Community Services — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Aynor