Tanabe, Kimberly R
Tanabe, Kimberly R is an individual health care provider with primary practice located at 3101 E State St Suite 2120, Eagle ID 83616-6232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tanabe, Kimberly R can be contacted via phone (208) 473-3275.Contact Information
Primary practice address
3101 E State St Suite 2120
Eagle ID 83616-6232
Phone: (208) 473-3275
Fax: (208) 473-3276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M5831 | Idaho |
Profile Details
| NPI number | 1194773598 |
|---|---|
| LBN Legal business name | Tanabe, Kimberly R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 21st, 2012 - about 12 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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