Individual
KENNETH BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2727 W. MARTIN LUTHER KING BLVD, STE #300, TAMPA, FL 33607
(813) 870-4436
(813) 870-4084
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 868-4488
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9185166
FL
Other
Enumeration date
09/13/2006
Last updated
11/07/2007
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