Kimberly T Tanner
Technician, Personal Care Attendant in Charlotte, NC. Individual provider (NPI-1).
NPI number1013240522
StatusActive
Last updated in NPPESSep 15, 2009
Details
- NPI
- 1013240522
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly T Tanner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2009
- Last updated
- Sep 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | HC3899 | NC | Yes |
Practice location
9836 Feldbank DrCharlotte, NC 28216-2135
Phone 704-697-9178
Mailing address
9836 Feldbank DrCharlotte, NC 28216-2135
Phone 704-697-9178
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