Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raymond Earl Kidwell, MD

Individual provider Family Medicine Physician · NPI 1801978457

Raymond Earl Kidwell, MD is a Family Practice in Clovis, California. Qualified in 1996, 30 years ago. Practices with Clovis Dermatology Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 Herndon Ave Ste 131
Clovis, CA 93612
Phone: (559) 298-7220
Fax: (559) 298-7060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A66131 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A66131 (CA)

Record details

NPI number1801978457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Clovis Dermatology Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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