Individual
KEVIN CODY TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
6286 BRIARCREST AVE, MEMPHIS, TN 38120-4023
(901) 305-4021
Mailing address
819 BURTON LN, SOUTHAVEN, MS 38671-6975
(901) 488-2286
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT0000001799
TN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT0637
MS
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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