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Jack Kidwell
NPI 1659504868 · on the registry since 2009 · sole proprietor
Practice
- Address
- 18697 Bagley Rd
Middleburg Heights, OH 44130 - Phone
- (216) 926-0699
- Organisation at this address
- Southwest Holdings Inc
Community Hospitalist, Llc
Community Intensivists, Llc
South West General Health Center
Hni Medical Services Of Ohio, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 133
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 261QP2000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-14
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 Ohio