NPI 1770354359
Katelyn M Kidwell, MARDTLCAT
Practice location
- Address
- 680 Bloomfield Ave APT 2, Bloomfield, NJ 07003-4352
- Phone
- (862) 283-0386
Registered specialties
Drama Therapist
Primary
Registry record
- NPI
- 1770354359
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jan 2024
- Record last updated
- 11 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.