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

Active since January 16, 2022
1102 N EAST ST, OLNEY, IL 62450(812) 881-1235 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Aug 15, 2024, Jan 16, 2022 (3 updates tracked since 2022).

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Kidwell's NPI number?

The NPI number for Michelle Kidwell is 1710638200. It was assigned to this individual provider in the NPPES registry on January 16, 2022.

Where is Michelle Kidwell located?

Michelle Kidwell practices at 1102 N East St, Olney, IL 62450. The listed phone number is (812) 881-1235.

What is Michelle Kidwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michelle Kidwell was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.