Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM TAVENER
ActiveKIM TAVENER is a Optician, Dispensing healthcare provider located in GREEN BAY, Wisconsin. NPI 1073994133 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · GREEN BAY, WI
Registration Details
- NPI Number
- 1073994133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2015 (11.175312397548 yrs)
- Last Updated
- Jun 15, 2015
Practice Information
- Address
-
923 ELIZA STGREEN BAY, WI, 543013234Browse WI providers · Browse ZIP 54301
- Phone
- 9209654700
- Fax
- 9209654701
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| JUDY WINNEY | — | 1770756397 |
| KAREN VANDENHOUTEN | — | 1962675587 |
| CHERYL M ROBERTSON | — | 1518528033 |
| CHRISTINA L REEK | — | 1962063495 |
| NICHOLE MCDERMID | ABO | 1467144204 |
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.