Individual provider · Type 1 NPI

BJ Kidwell

Family Nurse Practitioner · Bentonville, AR

NPI number 1366102253 Active

Practice location

3101 SE 14th St
Bentonville, AR 72712-4900

Call (479) 250-1053 Map

Fax (479) 250-0923

Other practice locations

  • 4864 Jackson St, Monroe, LA 71202-6400 · (318) 330-7000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X223761 (LA)
Family Nurse Practitioner Primary 363LF0000X218019 (AR)

Family Nurse Practitioner: Definition to come...

50 other providers at this address

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About NPI 1366102253

BJ Kidwell's National Provider Identifier is 1366102253, issued on Dec 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bentonville, AR. The record was last updated on Jun 20, 2023.