MARVIN CARL KIDWELL (NPI# 1043496680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043496680 |
| Entity Type | Individual |
| Full Name | MARVIN CARL KIDWELL |
| Practice Address |
274 Southland Dr Suite # 204 Lexington KY 40503-1946 |
| Mailing Address |
2145 Larkspur Dr Lexington KY 40504-3501 |
| Practice Telephone | 8594571679 |
| Practice Fax Number | 8592783451 |
| Mailing Telephone | 8594571679 |
| Mailing Fax Number | 8592783451 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH8993 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
KY-1058 | KY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MH8993 | FL | Behavioral Health & Social Service Providers |
| Street Address |
274 SOUTHLAND DR SUITE # 204 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679889893 | Carol Perkins | Nutritionist | 274 Southland Dr, Lexington, KY 40503-1946 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1447871199 | Hadassah Gomez | Counselor | 119 Brookside Pkwy, Lexington, SC 29072-4234 | 2020-05-05 |
| 1215560479 | Mary Elizabeth Ford | Counselor | 130 Gibson Rd, Lexington, SC 29072-3429 | 2020-02-17 |
| 1689205809 | Jonathan Mitchell, LLC | Counselor | 3175 Custer Dr Ste 303, Lexington, KY 40517-4023 | 2020-01-27 |
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1932679826 | Carrie Ann Corbett | Counselor | 160 Moore Dr Ste 201, Lexington, KY 40503-2936 | 2018-12-04 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.