David William Kidwell M.D.

NPI 1669611950 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1669611950
Gender Male
Enumeration Date 02/11/2009
Last Updated 02/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
450 BAUCHET ST
TWIN TOWERS CORRECTIONAL FACILITY
LOS ANGELES CA, 90012-2907, US
Phone (213) 473-6171
Fax (213) 972-4002
Business Location
450 BAUCHET ST
TWIN TOWERS CORRECTIONAL FACILITY
LOS ANGELES CA, 90012-2907, US
Phone (213) 473-6171
Fax (213) 972-4002
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G63810
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According to our database, Dr. David William Kidwell M.D. NPI is 1669611950, taxonomy code is 2084P0800X and license number is G63810, license state is located at California. David William Kidwell M.D. physically located at 450 Bauchet St, Los Angeles CA, 90012-2907. NPI Number David William Kidwell M.D. has the Individual type.

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1669611950 NPI number is provided on an as is basis without warranty of any kind. 1669611950 is maintained by the National Plan & Provider Enumeration System. The contents of David William Kidwell M.D. are for informational purposes only.