Individual provider · Type 1 NPI

Marvin Carl Kidwell

Professional Counselor · Lexington, KY

NPI number 1043496680 Active

Practice location

274 Southland Dr, Suite # 204
Lexington, KY 40503-1946

Call (859) 457-1679 Map

Fax (859) 278-3451

Mailing address

2145 Larkspur Dr
Lexington, KY 40504-3501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XKY-1058 (KY)
Mental Health Counselor 101YM0800XMH8993 (FL)
Clinical Social Worker 1041C0700XMH8993 (FL)

Professional Counselor: Definition to come...

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About NPI 1043496680

Marvin Carl Kidwell's National Provider Identifier is 1043496680, issued on Jan 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lexington, KY. The record was last updated on Dec 14, 2011.