IndividualActive
Rachelle Kidd
NPI 1790024164 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1790024164
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 789491 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
9162 Ballineen Ct
Las Vegas, NV 89148-4946
Phone: (405) 549-1155
Approximate (ZIP-level) locationGet directions
Mailing address
9162 Ballineen Ct
Las Vegas, NV 89148-4946
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2017-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.