IndividualActive
Tanner Kimber, ATC
NPI 1629470992 · Sports Medicine (Emergency Medicine) Physician · Bloomington, MN
Provider details
- NPI number
- 1629470992
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000017447 (MN)
Mailing address
10523 First Timberlane Dr
Northfield, MN 55057-4466
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2014-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.