Mary Anne Kidwell is a Medical in Henderson, Nevada. Mary Anne Kidwell practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Anne Kidwell is 1649365289. The last update date is 2019-12-31.
Mary Anne Kidwell's current location address is 595 W Lake Mead Pkwy, Henderson, Nevada. You can contact this provider via phone number 7025665500 and fax number 7025587238. The mailing address for Mary Anne Kidwell is 595 W Lake Mead Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Anne Kidwell |
|---|---|
| Address | 595 W Lake Mead Pkwy, Henderson, Nevada |
| Phone Number | 7025665500 |
| Fax Number | 7025587238 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649365289 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2019-12-31 |
Provider Mailing Address Detail
| Address | 595 W Lake Mead Pkwy |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890157015 |
| Phone Number | 7025665500 |
| Fax Number | 7025587238 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA839 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA839 | NV | STATE LICENSE | |
| 1649365289 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Anne Kidwell by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Anne Kidwell has been assigned the NPI (National Provider Identifier) 1649365289. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the area of specialization for Mary Anne Kidwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Anne Kidwell is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
When was the Mary Anne Kidwell's 1649365289 issued?
The Mary Anne Kidwell's 1649365289 was issued on 2006-10-03.
When was the Mary Anne Kidwell's information last updated?
The Mary Anne Kidwell's information was last updated on 2019-12-31.
When was the information pertaining to Mary Anne Kidwell most recently updated or revised?
The details related to Mary Anne Kidwell, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-31.