MICHELLE KIDWELL FNP-BC - NPI 1710638200 - Family Medicine in Olney, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Michelle Kidwell Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE KIDWELL FNP-BC (NPI 1710638200) is an individual family medicine provider in Olney, Illinois, licensed in Illinois (209.030275) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1710638200

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMICHELLE KIDWELLCredential: FNP-BC

Location Address1102 N EAST STOlney, IL 62450-2489

Mailing Address11347 Simmons DrBridgeport, IL 62417-2479 · (812) 881-1235

Phone(812) 881-1235

Sole ProprietorYes

Enumeration DateJanuary 16, 2022

Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1710638200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 209.030275

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1102 N EAST ST, Olney, IL 62450

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Frequently Asked Questions

What is Michelle Kidwell's NPI number?

The NPI number assigned to this healthcare provider is 1710638200, enumerated as an "individual" on January 16, 2022.

Where is the provider located?

The provider is located at 1102 N EAST ST OLNEY, IL 62450 and the phone number is (812) 881-1235.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.