Individual
DR. CHRISTOPHER W KIDWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 N ARLINGTON AVE STE 220, INDIANAPOLIS, IN 46219-3204
(317) 762-0190
Mailing address
1503 N MITTHOEFER RD, INDIANAPOLIS, IN 46229-2425
(317) 934-0750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067467A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200977880
—
IN
Enumeration date
07/23/2008
Last updated
10/13/2025
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