RACHELLE L KIDD NPI 1790024164

NPI Information

NPI: 1790024164
Provider Name: RACHELLE L KIDD
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
9162 BALLINEEN CT
LAS VEGAS, NV
ZIP 89148
Phone: (405) 549-1155
Get Directions

Rachelle L Kidd is a surgical physician assistant in Las Vegas, NV. Rachelle L Kidd NPI is 1790024164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9162 BALLINEEN CT
LAS VEGAS, NV
ZIP 89148-946
Phone: (405) 549-1155

The enumeration date for this NPI number is 2/5/2013 and was last updated on 4/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0410X	Specialist/Technologist, Other	Surgical Technologist	789491	NEVADA	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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