MR. Jeff Bidwell, KCSA

NPI #1649258187 in Central City, Kentucky

Provider Information

NPI Number: 1649258187
Entity Type: Individual
Name: MR. Jeff Bidwell, KCSA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Credential: KCSA
Enumeration Date: Jan 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 909 S CARROLLTON ST
City: Central City
State: Kentucky
ZIP Code: 42330-5853
Phone: (270) 754-3022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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