Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 42956 | AL |
N | 208000000X | Pediatrician | 42956 | AL |
NPI | 1093240343 |
---|---|
Provider Name | Kimberly Tarver |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-2700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2017 |
Last Update Date | 17/12/2021 |