Michael Anthony Kidwell, PT, DPT

NPI #1144693631 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1144693631
Entity Type: Individual
Name: Michael Anthony Kidwell, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Nov 5, 2015
Last Updated: Nov 5, 2015

Practice Location

Address: 708 WESTPORT RD
Address 2: 200
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-3819
Phone: (270) 766-1213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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