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Individual
WILLIAM KIDWELL
Active
Individual
WILLIAM KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S.0014917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.0014917
LSW
OH
Enumeration date
12/10/2017
Last updated
12/10/2017
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