Individual
KIMBERLY GAYLE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A0036545
AR
Other
Enumeration date
01/20/2012
Last updated
04/13/2020
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