Tatum, Kimberly Gardner
Tatum, Kimberly Gardner is an sole proprietor health care provider with primary practice located at 104 Silver Point Lane , Hattiesburg MS 39402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tatum, Kimberly Gardner can be contacted via phone (601) 270-9607.Contact Information
Primary practice address
104 Silver Point Lane
Hattiesburg MS 39402
Phone: (601) 270-9607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1711 | Mississippi |
Profile Details
| NPI number | 1225258494 |
|---|---|
| LBN Legal business name | Tatum, Kimberly Gardner |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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