MICHELLE KIDWELL

OLNEY, IL
NPI1710638200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  209.030275)
Enumeration Date2022-01-16
Last Update Date2024-08-19
Business Address
MICHELLE KIDWELL FNP-BC
1102 N EAST ST
OLNEY, IL 62450-2489
Phone number: 812-881-1235
Mailing Address
MICHELLE KIDWELL FNP-BC
11347 SIMMONS DR
BRIDGEPORT, IL 62417-2479
Phone number: 812-881-1235
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