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1902151087
RICHARD CHARLES KIDWELL
OVERLAND PARK, KS
NPI
1902151087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-03851)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- RICHARD CHARLES KIDWELL DPT
6400 GLENWOOD ST 111
OVERLAND PARK, KS 66202-4028
Phone number: 913-831-2721
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Mailing Address
-- RICHARD CHARLES KIDWELL DPT
6400 GLENWOOD ST 111
OVERLAND PARK, KS 66202-4028
Phone number: 913-831-2721
Copy
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