Individual
DR. BRIAN KEITH WIDENER
Active
Individual
DR. BRIAN KEITH WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, RN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104555564
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175795
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227319
ANTHEM BC/BS
VA
Enumeration date
11/02/2006
Last updated
03/19/2018
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