Individual
RACHELLE L KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9162 BALLINEEN CT, LAS VEGAS, NV 89148-4946
(405) 549-1155
Mailing address
9162 BALLINEEN CT, LAS VEGAS, NV 89148-4946
(405) 549-1155
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
789491
NV
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
04/25/2017
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