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Individual
MR. SETH T KIDWELL
Active
Individual
MR. SETH T KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098170
—
OH
Enumeration date
02/05/2014
Last updated
01/08/2021
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