Tavener, Kim

Tavener, Kim is an individual health care provider with primary practice located at 923 Eliza St , Green Bay WI 54301-3234. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Tavener, Kim can be contacted via phone (920) 965-4700.

Contact Information

Primary practice address
923 Eliza St Green Bay WI 54301-3234
Phone: (920) 965-4700
Fax: (920) 965-4701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1073994133
LBN Legal business name Tavener, Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Jun 15th, 2015 - about 11 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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