NPI 1215977038

Walter M Kidwell, MD

Practitioner Interventional Pain Medicine Physician Las Vegas, NV

Practice location

Address: 7435 W Azure Dr STE 190, Las Vegas, NV 89130-4427
Phone: (702) 788-5252
Fax: (702) 878-9096
Mailing address: 4045 S Buffalo Dr A101-172, Las Vegas, NV 89147-7479

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 9263 (NV)

Other Pain Medicine providers in Nevada →

Registry record

NPI: 1215977038
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 12 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.