KENNETH BIDWELL

TAMPA, FL
NPI1194820407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9185166)
Enumeration Date2006-09-13
Last Update Date2007-11-07
Business Address
-- KENNETH BIDWELL CRNA
2727 W. MARTIN LUTHER KING BLVD STE #300
TAMPA, FL 33607
Phone number: 813-870-4436
Mailing Address
-- KENNETH BIDWELL CRNA
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 800-394-4445
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