Organization
PAIN INSTITUTE OF NEVADA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER M KIDWELL MD (OWNER PRES CEO)
(702) 878-8252
Entity
Organization
Contact information
Practice address
7065 W ANN RD STE 130-548, LAS VEGAS, NV 89130
(702) 878-8252
(702) 878-9096
Mailing address
7435 W AZURE DR STE 190, LAS VEGAS, NV 89130-4427
(702) 878-8252
(702) 878-9096
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
06/12/2019
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