NPI 1194773598

Kimberly R Tanabe, MD

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address: 3101 E State St Suite 2120, Eagle, ID 83616-6232
Phone: (208) 473-3275
Fax: (208) 473-3276
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M5831 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1194773598
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2006
Record last updated: 21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.