Kathleen H Kidd, CRNA | |
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
(314) 989-3000 | |
Not Available |
Full Name | Kathleen H Kidd |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 300 1st Capitol Dr, Saint Charles, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083696009 | NPI | - | NPPES |
P00272278 | Other | MO | RR MEDICARE |
913876660 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 113717 (Missouri) | Primary |
Entity Name | Metro-west Anesthesia Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031219000779 |
Mailing Address | Practice Location Address |
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Kathleen H Kidd, CRNA 13523 Barrett Parkway Dr, Suite 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Kathleen H Kidd, CRNA 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (314) 989-3000 |
Julie L Roach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Courtney Henderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-775-2816 | |
Robert D Kinder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Melissa Lashley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 74 Catawba Ct, Saint Charles, MO 63304 Phone: 636-699-9127 | |
Jay L Poole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-989-3000 | |
Miss Abby Elizabeth Hoyer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1214 Lake Ct, Saint Charles, MO 63303 Phone: 314-952-8027 |