RAYMOND EARL KIDWELL


Address: 6700 N 1st St, Suite 131, Fresno, CA 93710-3900
Phone: 5594323333

RAYMOND EARL KIDWELL (NPI# 1801978457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801978457
Entity Type Individual
Full Name RAYMOND EARL KIDWELL
Credential MD
Practice Address 6700 N 1st St
Suite 131
Fresno
CA 93710-3900
Mailing Address Po Box 12060
Las Vegas
NV 89112-0060
Practice Telephone 5594323333
Practice Fax Number 5594323336
Mailing Telephone 7023602100
Mailing Fax Number 9095571924
Enumeration Date 2006-10-20
Last Update Date 2013-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A66131 CA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine A66131 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA RAILROAD MEDICARE P00767385 01
CA RAILROAD MEDICARE P00439927 01

Office Location

Street Address 6700 N 1ST ST
SUITE 131
City FRESNO
State CA
Zip Code 93710-3900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619916913 Jeanett Segal Allergy & Immunology 6700 N 1st St, Ste 131, Fresno, CA 93710-3947 2006-06-05
1871957050 Hugo Coronado Dds, Inc. Dentist 6700 N 1st St, Suite 136, Fresno, CA 93710-3900 2016-04-13
1891014056 Eye and Vision Central California Inc Ophthalmology 6700 N 1st St, Ste 104, Fresno, CA 93710-3900 2010-05-26
1891954509 Swarnpal Singh Sekhon Md Inc Clinic/Center 6700 N 1st St, Suite 125, Fresno, CA 93710-3900 2008-06-06
1871792176 Wendy Dawn Reed Perez Physician Assistant 6700 N 1st St, Suite 131, Fresno, CA 93710-3900 2007-07-16
1477752202 Gerald E. Peters, M.d., Inc Dermatology 6700 N 1st St, Suite 131, Fresno, CA 93710-3900 2007-07-12
1447313796 Henry J Green Psychiatry & Neurology 6700 N 1st St, Suite 127, Fresno, CA 93710-3900 2006-12-18
1366502502 Steve Cachero Pediatrics 6700 N 1st St, Ste 113, Fresno, CA 93710-3900 2006-12-11
1861572661 Richard Ernest Jennings Dentist 6700 N 1st St, Sutie 110, Fresno, CA 93710-3900 2006-10-16
1073625349 John D Dawson Chiropractor 6700 N 1st St, #134, Fresno, CA 93710-3900 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184240384 Patsy Joan Perry Counselor Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 2020-06-23
1831739853 Blanca Stephanie Millan Counselor 1300 E Shaw Ave Suite 172, Fresno, CA 93710 2020-01-07
1679115737 Abel Luis Flores Physical Therapy Assistant 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 2019-10-10
1316408933 Simranjit Kaur Mann Behavioral Analyst 5180 North Primitivo Way Appt #363, Fresno, CA 93710 2019-03-27
1093274169 Aleajndra Bedolla Alcantar Behavior Technician 1320 East Shaw Ave, #110, Fresno, CA 93710 2019-03-18
1790244960 Alondra Martinez Behavior Technician 1320 East Shaw Ave #110, Fresno, CA 93710 2019-03-18
1235698622 Irma Joselyn Castro Behavior Technician 1320 East Shaw Ave # 110, Fresno, CA 93710 2019-03-15
1619433711 Beacon Dental Group Dentist 6099 N. First Ste Ste 102, Fresno, CA 93710 2019-02-13
1265909394 Pathana Phonesy Behavior Technician 5363 N. Fresno St., Suite 105, Fresno, CA 93710 2018-10-26
1376030080 Jane F Kardashian Md Inc Non-Pharmacy Dispensing Site 6769 N Fresno, Fresno, CA 93710 2018-04-18
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831730514 Amneet Kaur Brar Dermatology 7055 N Fresno St Ste 310, Fresno, CA 93720-2957 2019-10-03
1770059552 Professional Medical Corporation Dermatology 1642 E Herndon Ave Ste 104, Fresno, CA 93720-3377 2018-10-18
1518233048 Jane F. Kardashian, M.d., Inc. Dermatology 6769 N. Fresno Street, Fresno, CA 93710 2012-03-29
1134374465 Cheri Lynne Ponce Dermatology 6181 N Thesta St Ste 104, Fresno, CA 93710-8604 2008-12-01
1144482373 Edgar S. Macias Dermatology 7115 N Chestnut Ave Ste 101, Fresno, CA 93720-0361 2008-06-29
1528252038 Irfan Rahman Dermatology 6065 N Fruit Ave, Suite 102, Fresno, CA 93710 2007-08-29
1982789467 Catherine A. Hoffman Md, Inc. Dermatology 1374 East Alluvial Avenue, Fresno, CA 93720-2608 2006-10-25
1043313133 Leslie Anne Storey Dermatology 7777 N. Ingram Ave., Fresno, CA 93711-6281 2006-09-06
1609985704 Leah Press Dermatology 1340 W Herndon Ave Ste 101, Fresno, CA 93711-7180 2006-08-30
1104812452 Kathleen L Behr Dermatology 1125 E Spruce Ave, #207, Fresno, CA 93720-3330 2005-09-22
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Competitor

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City FRESNO
Zip Code 93710

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Dataset Information

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.

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