Organization
TK SURGICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER C KIMBLE CSFA (OWNER/ CEO)
(208) 410-0569
Entity
Organization
Contact information
Practice address
2100 US-61, VICKSBURG, MS 39183
(208) 410-0569
Mailing address
113 WOODSTOCK DR, VICKSBURG, MS 39180-5812
(208) 410-0569
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043988116
NPI
—
Enumeration date
12/20/2021
Last updated
12/20/2021
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