Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER C KIMBLE, CST/CSFA
Active Sole ProprietorTANNER C KIMBLE, CST/CSFA is a Clinical Chemistry Technician healthcare provider located in VICKSBURG, Mississippi. NPI 1043988116 is currently active in the NPPES registry. Verify at CMS.
Clinical Chemistry Technician · VICKSBURG, MS
Registration Details
- NPI Number
- 1043988116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2021 (4.9759339384427 yrs)
- Last Updated
- Feb 15, 2022
- License
-
188016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 HIGHWAY 61 NVICKSBURG, MS, 391838211Browse MS providers · Browse ZIP 39183
- Phone
- 6018835000
- Primary Specialty
-
Clinical Chemistry Technician
246ZC0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.