person
Kim Tavener
Optician in Green Bay, Wisconsin
NPI 1073994133

Kim Tavener is a Optician based in Green Bay, WI and is specialized in Optician. Kim Tavener practices in Green Bay, WI. The NPI Number for Kim Tavener is 1073994133 and holds a License No. (Wisconsin).

The current practice location address for Kim Tavener is 923 Eliza St, Green Bay, WI and can be reached out via phone at 920-965-4700 and via fax at 920-965-4701. You can also correspond with Kim Tavener through the mailing address at 923 ELIZA ST, GREEN BAY, WI - 54301-3234 (mailing address contact number: 920-965-4700).

Location: 923 Eliza St, Green Bay, WI, 54301-3234
person
Provider Profile Details
NPI Number
1073994133
Provider Name
Kim Tavener
Credential
Provider Entity Type
Individual
Gender
Female
Address
923 Eliza St, Green Bay, WI, 54301-3234
Phone Number
920-965-4700
Fax Number
920-965-4701
Provider Enumeration Date
06/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
923 Eliza St
City
State
Zip
54301-3234
Phone Number
920-965-4700
Fax Number
920-965-4701
person
Provider Business Mailing Address Details
Address
923 Eliza St
City
State
Zip
54301-3234
Phone Number
920-965-4700
Fax Number
920-965-4701
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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