Male or Other

Dr. Christopher W. Kidwell MD

Family Medicine Physician in Greenwood, IN(View on Map)

Full Name

Dr. Christopher W Kidwell MD

NPI Number

1982869590

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/23/2008

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Indiana
Indiana

License Number

01067467A
11014533A

Contact
Information

Purpose

Mailing
Location

Address

6626 E 75TH ST STE 500
1664 W SMITH VALLEY RD

City

Indianapolis
Greenwood

State

IN
IN

Postal Code

46250-2890
46142-1550

Country

US
US

Telephone Number

N/A
(317) 887-7640

Identifiers

Identifier

200977880

Identifier State

IN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

ckidwell325107@eCommunityDirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

Community Hospitals of Indiana, INC1001 N Madison AveGreenwood, IN461424135US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/29/2020

Provider Address

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