Kim L Tanner is a Oncology in Lewisville, Texas. Kim L Tanner practices all healthcare services and medical treatments related to Oncology. The NPI Number for Kim L Tanner is 1477621977. The last update date is 2007-07-08.
Kim L Tanner's current location address is 2790 Lake Vista Dr, Lewisville, Texas. You can contact this provider via phone number 9724591390 and fax number 9724591391. The mailing address for Kim L Tanner is 2790 Lake Vista Dr, Lewisville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim L Tanner |
|---|---|
| Address | 2790 Lake Vista Dr, Lewisville, Texas |
| Phone Number | 9724591390 |
| Fax Number | 9724591391 |
| Sole Proprietor | N |
| Credentials | RPH BCOP |
NPI Number Detail
| NPI Number | 1477621977 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2790 Lake Vista Dr |
|---|---|
| City | Lewisville |
| State | Texas (TX) |
| Post Code | 750673884 |
| Phone Number | 9724591390 |
| Fax Number | 9724591391 |
Provider's Primary Taxonomy Detail
| Speciality | Oncology |
|---|---|
| Taxonomy | 1835X0200X |
| Licence No | 33059 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
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What is the unique 10-digit identifier code assigned to Kim L Tanner by the Centers for Medicare & Medicaid Services?
The Kim L Tanner has been issued the NPI (National Provider Identifier) 1477621977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kim L Tanner?
The Kim L Tanner is situated at 2790 Lake Vista Dr, in the city of Lewisville, state of TX, with the zip code 750673884.
What is the Kim L Tanner's area of specialization and corresponding taxonomy classification?
The Kim L Tanner's specialty field is Oncology, and it falls under the taxonomy code 1835X0200X, which categorizes healthcare providers based on their specialties.
On what date did the Kim L Tanner receive the assignment of its 1477621977 from the Centers for Medicare & Medicaid Services?
The Kim L Tanner was issued its 1477621977 by the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the details related to Kim L Tanner most recently updated or revised?
The information pertaining to Kim L Tanner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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