TANNER C KIMBLE CST/CSFA - NPI 1043988116 - Specialist/Technologist, Other in Vicksburg, MS

Q: What is Tanner Kimble's NPI number?

The NPI number for Tanner Kimble is 1043988116. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Q: What is Tanner Kimble's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Kimble was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tanner C Kimble Cst/csfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER C KIMBLE CST/CSFA (NPI 1043988116) is an individual surgical assistant in Vicksburg, Mississippi, licensed in (188016) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1043988116

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameTANNER C KIMBLECredential: CST/CSFA

Location Address2100 HIGHWAY 61 NVicksburg, MS 39183-8211

Mailing Address406 Lacasa LoopTwin Falls, ID 83301-5663 · (208) 410-0569

Phone(601) 883-5000

Sole ProprietorYes

Enumeration DateSeptember 2, 2021

Last NPPES UpdateFebruary 15, 2022

NPPES CertifiedFebruary 15, 2022

✔ NPI 1043988116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed · 188016

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

2100 HIGHWAY 61 N, Vicksburg, MS 39183

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Other Identifiers 1

Other188016The National Board Of Surgical Technology And Surgical Assisting

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL J MCREYNOLDS CRNA

Nurse Anesthetist, Certified Registered