Individual
AMY KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3642 ED ARNOLD RD, AUGUSTA, WV 26704-8504
(681) 271-4363
Mailing address
3642 ED ARNOLD RD, AUGUSTA, WV 26704-8504
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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