Covington Tarver, Kimberly C.

Covington Tarver, Kimberly C. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine/Division Of Geriatrics, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Covington Tarver, Kimberly C. can be contacted via phone (601) 984-6426.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine/Division Of Geriatrics Jackson MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 14422 Mississippi

Profile Details

NPI number 1013942895
LBN Legal business name Covington Tarver, Kimberly C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013942895 NPPES
Mississippi Other RR 110159204 RAILROAD
Mississippi MEDICAID 07483295 RAILROAD
Mississippi Other P00462331 RAILROAD

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