KIRK W TANNER

CHARLOTTESVILLE, VA
NPI1760486328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024094260)
Enumeration Date2005-06-10
Last Update Date2012-09-26
Business Address
-- KIRK W TANNER CRNA
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-0000
Mailing Address
-- KIRK W TANNER CRNA
PO BOX 800778
CHARLOTTESVILLE, VA 22908-0778
Phone number: 434-982-4228
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