Kevin J Bardwell, MD Valid NPI

Individual provider · Family Medicine Physician · Baxter, MN

NPI

1801875869

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

36003 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-10

Last updated

2019-07-08