Individual
RICHARD CHARLES KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6400 GLENWOOD ST, 111, OVERLAND PARK, KS 66202-4028
(913) 831-2721
(913) 384-0127
Mailing address
6400 GLENWOOD ST, 111, OVERLAND PARK, KS 66202-4028
(913) 831-2721
(913) 384-0127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03851
KS
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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