Kimberly Charlene Tanner

NPI #1568286086 in Blaine, Tennessee

Provider Information

NPI Number: 1568286086
Entity Type: Individual
Name: Kimberly Charlene Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse's Aide
Enumeration Date: Nov 12, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 880 RUTLEDGE PIKE
City: Blaine
State: Tennessee
ZIP Code: 37709-2317
Phone: (865) 933-4110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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