Walter M Kidwell in Las Vegas - Interventional Pain Medicine
Walter M Kidwell - NPI 1215977038
Walter M Kidwell is a Interventional Pain Medicine in Las Vegas, Nevada. Walter M Kidwell practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Walter M Kidwell is 1215977038. The last update date is 2019-06-12.
Walter M Kidwell's current location address is 4045 S Buffalo Dr, Las Vegas, Nevada. You can contact this provider via phone number 7028788252 and fax number 7028789096. The mailing address for Walter M Kidwell is 4045 S Buffalo Dr, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter M Kidwell |
|---|---|
| Address | 4045 S Buffalo Dr, Las Vegas, Nevada |
| Phone Number | 7028788252 |
| Fax Number | 7028789096 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215977038 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2019-06-12 |
Provider Mailing Address Detail
| Address | 4045 S Buffalo Dr |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891477479 |
| Phone Number | 7028788252 |
| Fax Number | 7028789096 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 9263 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33452 | NV | MEDICARE ORIGINAL | |
| 100791 | NV | GROUP |
Post Comment/ Review Below
What is the unique identification code assigned to Walter M Kidwell by the Centers for Medicare & Medicaid Services?
The Walter M Kidwell has been issued the NPI (National Provider Identifier) 1215977038. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Walter M Kidwell's facilities are geographically located?
The facilities of Walter M Kidwell are physically situated at the following location: 4045 S Buffalo Dr, Las Vegas, NV, 891477479.
What is the Walter M Kidwell's area of specialization and corresponding taxonomy classification?
The Walter M Kidwell's specialty field is Interventional Pain Medicine, and it falls under the taxonomy code 208Vp0014X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215977038 to Walter M Kidwell?
The Centers for Medicare & Medicaid Services originally issued the 1215977038 to Walter M Kidwell on 2006-06-08.
As of what date were the details related to Walter M Kidwell most recently updated or revised?
The information pertaining to Walter M Kidwell, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-12.