Jacob Kidwell
Jacob Kidwell is an Athletic Trainer in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
5267 Brass Lantern PlSaint Louis, MO 63128-3501
Phone: (314) 347-9769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1184412546 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2025 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 27, 2025 |
| Mailing address | 5267 Brass Lantern Pl, Saint Louis, MO 63128-3501 |
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