Individual
MR. JOSHUA CHARLES KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1930 BISHOP LN, LOUISVILLE, KY 40218-1921
(502) 272-5033
Mailing address
173 E WOODLAKE CIR, MT WASHINGTON, KY 40047-5113
(502) 649-1503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010113
KY
Other
Enumeration date
02/08/2016
Last updated
02/13/2016
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