Individual
MR. RICHARD CHARLES KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
855 GOLF COURSE RD, ELKO, NV 89801
(775) 753-4700
(775) 753-4703
Mailing address
PO BOX 1529, ELKO, NV 89803-1529
(775) 738-2220
(775) 738-3751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000017
NV
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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