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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAYMOND EARL KIDWELL, MD

Active

RAYMOND EARL KIDWELL, MD is a Dermatology healthcare provider located in CLOVIS, California. NPI 1801978457 is currently active in the NPPES registry. Verify at CMS.

Dermatology · CLOVIS, CA

Registration Details

NPI Number
1801978457
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2006 (19.635094710702 yrs)
Last Updated
Mar 23, 2021
Licenses
A66131 (CA)
A66131 (CA)

Practice Information

Address
275 HERNDON AVENUE
SUITE 131
CLOVIS, CA, 93612
Browse CA providers · Browse ZIP 93612
Phone
5592987220
Fax
5592987060
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in CLOVIS, CA

Name Credential NPI
DR. LUIS ALBERTO DEHESA M.D. 1629412259
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.