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1194820407
KENNETH BIDWELL
TAMPA, FL
NPI
1194820407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9185166)
Enumeration Date
2006-09-13
Last Update Date
2007-11-07
Business Address
-- KENNETH BIDWELL CRNA
2727 W. MARTIN LUTHER KING BLVD STE #300
TAMPA, FL 33607
Phone number: 813-870-4436
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Mailing Address
-- KENNETH BIDWELL CRNA
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 800-394-4445
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