Kidd, Rachelle L

Kidd, Rachelle L is an individual health care provider with primary practice located at 9162 Ballineen Ct , Las Vegas NV 89148-4946. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kidd, Rachelle L can be contacted via phone (405) 549-1155.

Contact Information

Primary practice address
9162 Ballineen Ct Las Vegas NV 89148-4946
Phone: (405) 549-1155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 789491 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1790024164
LBN Legal business name Kidd, Rachelle L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Apr 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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