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Jacob Kidwell
NPI 1184412546 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5267 Brass Lantern Pl
Saint Louis, MO 63128 - Phone
- (314) 347-9769
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2025-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri