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1770941635
JOSHUA CHARLES KIDWELL
LOUISVILLE, KY
NPI
1770941635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010113)
Enumeration Date
2016-02-08
Last Update Date
2016-02-13
Business Address
Mr. JOSHUA CHARLES KIDWELL APRN
1930 BISHOP LN
LOUISVILLE, KY 40218-1921
Phone number: 502-272-5033
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Mailing Address
Mr. JOSHUA CHARLES KIDWELL APRN
173 E WOODLAKE CIR
MT WASHINGTON, KY 40047-5113
Phone number: 502-649-1503
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