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Contact Information

STEPHANIE B DUNCAN KIDWELL
453 COCOA ST.
COCOA, FL32922
 Phone: 321-633-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE B DUNCAN KIDWELL · (Female)

NPI Number 1891241949
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2016
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
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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