person
Mrs. Mary Anne Kidwell, PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1649365289

Mary Anne Kidwell is a Medical Physician Assistant based in Sioux Falls, NV and is specialized in Medical. Mary Anne Kidwell practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Mary Anne Kidwell is 1649365289 and holds a License No. PA839 (Nevada).

The current practice location address for Mary Anne Kidwell is 5850 Polaris Ave, Las Vegas, NV and can be reached out via phone at 702-739-9957 and via fax at 702-558-7238.

Location: 5850 Polaris Ave, Las Vegas, NV, 57117-5074
person
Provider Profile Details
NPI Number
1649365289
Provider Name
Mary Anne Kidwell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5850 Polaris Ave, Las Vegas, NV, 57117-5074
Phone Number
702-739-9957
Fax Number
702-558-7238
Provider Enumeration Date
10/03/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1537 01 SD STATE LICENSE
9118662 01 FL STATE LICENSE
1649365289 05 NV
PA839 01 NV STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5850 Polaris Ave
City
State
Zip
89118-3182
Phone Number
702-739-9957
Fax Number
702-558-7238
person
Provider Business Mailing Address Details
Address
5850 Polaris Ave
City
State
Zip
89118-3182
Phone Number
702-739-9957
Fax Number
702-558-7238
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
1537 (South Dakota)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA839 (Nevada)
Definition
Definition to come...
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