Individual
DR. DAVID WILLIAM KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 BAUCHET ST, TWIN TOWERS CORRECTIONAL FACILITY, LOS ANGELES, CA 90012-2907
(213) 473-6171
(213) 972-4002
Mailing address
450 BAUCHET ST, TWIN TOWERS CORRECTIONAL FACILITY, LOS ANGELES, CA 90012-2907
(213) 473-6171
(213) 972-4002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G63810
CA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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