MARVIN CARL KIDWELL NPI 1043496680

NPI Information

NPI: 1043496680
Provider Name: MARVIN CARL KIDWELL
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
274 SOUTHLAND DR
SUITE # 204
LEXINGTON, KY
ZIP 40503
Phone: (859) 457-1679
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Marvin Carl Kidwell is a professional counselor in Lexington, KY. Marvin Carl Kidwell NPI is 1043496680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

274 SOUTHLAND DR
SUITE # 204
LEXINGTON, KY
ZIP 40503-946
Phone: (859) 457-1679
Fax: (859) 278-3451

The enumeration date for this NPI number is 1/14/2008 and was last updated on 12/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH8993	FLORIDA	No
2	1041C0700X	Social Worker	Clinical	MH8993	FLORIDA	No
3	101YP2500X	Counselor	Professional	KY-1058	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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