Individual
ALLISON CARLO KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
802 W KING ST STE M, OWOSSO, MI 48867-2100
(989) 729-4100
(989) 729-4066
Mailing address
802 W KING ST STE M, OWOSSO, MI 48867-2100
(989) 729-4100
(989) 729-4066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101024617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912357146
—
MI
Enumeration date
06/19/2016
Last updated
09/27/2023
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