Individual
MRS. AMANDA DARLENE KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1130 AMHERST DR, ASHLAND, KY 41101-2100
(606) 922-0702
Mailing address
1130 AMHERST DR, ASHLAND, KY 41101-2100
(606) 922-0702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3006
KY
Other
Enumeration date
01/03/2008
Last updated
05/06/2015
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