Kidwell, Marvin Carl

Kidwell, Marvin Carl is an sole proprietor health care provider with primary practice located at 274 Southland Dr Suite # 204, Lexington KY 40503-1946. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Kidwell, Marvin Carl can be contacted via phone (859) 457-1679.

Contact Information

Primary practice address
274 Southland Dr Suite # 204 Lexington KY 40503-1946
Phone: (859) 457-1679
Fax: (859) 278-3451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X KY-1058 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8993 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X MH8993 Florida

Profile Details

NPI number 1043496680
LBN Legal business name Kidwell, Marvin Carl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Dec 14th, 2011 - about 13 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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