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

Active since September 02, 2021
2100 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-5000 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 831-1146
DR. KAYLISE ANGELLE TRAHAN MD
Emergency Medicine
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
MICHAEL L DAVIS MD
Internal Medicine (Nephrology)
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 630-9755
LISA D FAIRCHILD MD
Pediatrics
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
MURRAY P WHITAKER MD
Internal Medicine (Cardiovascular Disease)
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
JAMES HENRY CARR M.D.
Emergency Medicine
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5000
CALVIN CHRISTOPHER SEYFARTH R.PH.
Pharmacist
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 883-5780
ANDREW HENDRIX CRNA
Nurse Anesthetist, Certified Registered
2100 HIGHWAY 61 N
VICKSBURG, MS 39183
Warren County (601) 833-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Tanner Kimble located?

Tanner Kimble practices at 2100 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 883-5000.

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.

When was this NPI record last updated?

The NPPES record for Tanner Kimble was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.