Kevin Scott Tanner, D.P.M.

NPI #1881683829 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1881683829
Entity Type: Individual
Name: Kevin Scott Tanner, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Oct 20, 2005
Last Updated: Mar 12, 2008

Practice Location

Address: 3359 CENTER POINT RD NE
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-5568
Phone: (319) 393-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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