IndividualActive
Jeff Bidwell, KCSA
NPI 1649258187 · Other Technician · Central City, KY
Provider details
- NPI number
- 1649258187
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- KCSA
- Sex
- Male
- License
- KCSA (KY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
909 S Carrollton St
Central City, KY 42330-5853
Phone: (270) 754-3022
Approximate (ZIP-level) locationGet directions
Mailing address
909 S Carrollton St
Central City, KY 42330-5853
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.