Patricia Kidwell CRNA

NPI 1063419851 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063419851
Gender Female
Enumeration Date 07/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
30 MEDICAL CENTER BLVD
SUITE 305
UPLAND PA, 19013-3955, US
Phone (610) 874-6448
Fax (610) 876-7399
Business Location
7801 WOODLAWN AVE
MELROSE PARK PA, 19027-2917, US
Phone (215) 635-9215
Fax
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number RN274743L
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According to our database, Patricia Kidwell CRNA NPI is 1063419851, taxonomy code is 367500000X and license number is RN274743L, license state is located at Pennsylvania. Patricia Kidwell CRNA physically located at 30 Medical Center Blvd, Upland PA, 19013-3955. NPI Number Patricia Kidwell CRNA has the Individual type.

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1063419851 NPI number is provided on an as is basis without warranty of any kind. 1063419851 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Kidwell CRNA are for informational purposes only.