Individual
PATRICIA KIDWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 305, UPLAND, PA 19013-3955
(610) 874-6448
(610) 876-7399
Mailing address
7801 WOODLAWN AVE, MELROSE PARK, PA 19027-2917
(215) 635-9215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN274743L
PA
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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