Tanner C Kimble, CST/CSFA
NPI #1043988116 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1043988116
- Entity Type
- Individual
- Name
- Tanner C Kimble, CST/CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CST/CSFA
- Enumeration Date
- Sep 2, 2021
- Last Updated
- Feb 15, 2022
Practice Location
- Address
- 2100 HIGHWAY 61 N
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-8211
- Phone
- (601) 883-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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