Kidwell, Earl

Kidwell, Earl is an sole proprietor health care provider with primary practice located at 3104 Lord Baltimore Dr Suite 200, Baltimore MD 21244-2898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kidwell, Earl can be contacted via phone (410) 265-1501.

Contact Information

Primary practice address
3104 Lord Baltimore Dr Suite 200 Baltimore MD 21244-2898
Phone: (410) 265-1501
Fax: (410) 265-1504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D18526 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD13643 District of Columbia

Profile Details

NPI number 1689757254
LBN Legal business name Kidwell, Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689757254 NPPES
Maryland MEDICAID 188961300

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