Kevin Kristopher Kidwell
Kevin Kristopher Kidwell is an Addiction (Substance Use Disorder) Counselor in Mount Vernon, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
213 E Chestnut StMount Vernon, OH 43050-3404
Phone: (740) 326-9255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA177943 (OH) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1124594627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2018 |
| Last updated in NPPES | September 20, 2021 |
| Certification date | September 20, 2021 |
| Mailing address | 213 E Chestnut St, Mount Vernon, OH 43050-3404 |
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