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Contact Information

RAYMOND E KIDWELL, MD
275 HERNDON AVENUE
SUITE 131
CLOVIS, CA93612
 Phone: 559-298-7220
 Fax: 559-298-7060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RAYMOND E KIDWELL · (Male)

NPI # 1801978457
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 03/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A66131
  • CA Other P00439927 RAILROAD MEDICARE
  • CA Other P00767385 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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