KIM TATUM

DAVITA MEDICAL GROUP NEVADA COATS LTD

Dr KIM TATUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

DAVITA MEDICAL GROUP NEVADA COATS LTD

4500 W OAKEY BLVD
LAS VEGAS
NV
891021527

Tel: 7028735110

KIM TATUM Information

Npi 1073005419
Pac Id 4284972480
Professional Enrollment Id I20190213002956
Last Name TATUM
First Name KIM
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DAVITA MEDICAL GROUP NEVADA COATS LTD
Group Practice Pac Id 5991866303
Number Of Group Practice Members 312
Line 1 Street Address 4500 W OAKEY BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAS VEGAS
State NV
Zip Code 891021527
Phone Number 7028735110
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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