Individual
KEVIN SCOTT TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3359 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-5568
(319) 393-4343
(319) 393-4464
Mailing address
3359 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-5568
(319) 393-4343
(319) 393-4464
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00676
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10373
WELLMARK PROVIDER NUMBER
IA
05
—
1172692
—
IA
Enumeration date
10/20/2005
Last updated
03/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us