Individual
LORI KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1115 BETHEL RD FL 1, COLUMBUS, OH 43220-2690
(614) 538-0353
Mailing address
1115 BETHEL RD FL 1, COLUMBUS, OH 43220-2690
(614) 538-0353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RN360518
OH
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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