Tanner, Kevin Scott

Tanner, Kevin Scott is an sole proprietor health care provider with primary practice located at 3359 Center Point Rd Ne , Cedar Rapids IA 52402-5568. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tanner, Kevin Scott can be contacted via phone (319) 393-4343.

Contact Information

Primary practice address
3359 Center Point Rd Ne Cedar Rapids IA 52402-5568
Phone: (319) 393-4343
Fax: (319) 393-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00676 Iowa

Profile Details

NPI number 1881683829
LBN Legal business name Tanner, Kevin Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Mar 12th, 2008 - about 16 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 1881683829 NPPES
Iowa MEDICAID 1172692
Iowa Other 10373

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