Kimberly R Tanabe, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Eagle, ID

NPI

1194773598

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

M5831 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2006-05-05

Last updated

2012-08-21