Kimble, Tanner C

Kimble, Tanner C is an sole proprietor health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Kimble, Tanner C can be contacted via phone (601) 883-5000.

Contact Information

Primary practice address
2100 Highway 61 N Vicksburg MS 39183-8211
Phone: (601) 883-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 188016

Profile Details

NPI number 1043988116
LBN Legal business name Kimble, Tanner C
Credentials CST/CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2021
Last updated Feb 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043988116 NPPES
Other 188016 THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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