Individual
SUSAN MARY KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8820 S MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46217-6056
(317) 865-6833
(317) 865-6832
Mailing address
8820 S MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46217-6056
(317) 865-6833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019242A
IN
Other
Enumeration date
08/30/2006
Last updated
05/28/2014
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