MICHAEL ANTHONY KIDWELL

ELIZABETHTOWN, KY
NPI1144693631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  006742)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- MICHAEL ANTHONY KIDWELL PT, DPT
708 WESTPORT RD 200
ELIZABETHTOWN, KY 42701-3819
Phone number: 270-766-1213
Mailing Address
-- MICHAEL ANTHONY KIDWELL PT, DPT
708 WESTPORT RD 200
ELIZABETHTOWN, KY 42701-3819
Phone number: 270-766-1213