Individual provider · Type 1 NPI

Kevin Kristopher Kidwell

Addiction (Substance Use Disorder) Counselor · Mount Vernon, OH

NPI number 1124594627 Active

Practice location

213 E Chestnut St
Mount Vernon, OH 43050-3404

Call (740) 326-9255 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA177943 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1124594627

Kevin Kristopher Kidwell's National Provider Identifier is 1124594627, issued on Oct 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, OH. The record was last updated on Sep 20, 2021.