Kim Tavener
Kim Tavener is an Optician in Green Bay, Wisconsin. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
923 Eliza StGreen Bay, WI 54301-3234
Phone: (920) 965-4700
Fax: (920) 965-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1073994133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 15, 2015 |
| Last updated in NPPES | June 15, 2015 |
| Mailing address | 923 Eliza St, Green Bay, WI 54301-3234 |
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