Individual
KIMBERLY A TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1379
TN
208100000X
Physical Medicine & Rehabilitation Physician
1379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517769
—
TN
Enumeration date
08/25/2005
Last updated
12/03/2025
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