Kimball Tate, | |
209 W Jefferson Ave, Bastrop, LA 71220-4543 | |
(318) 239-3890 | |
Not Available |
Full Name | Kimball Tate |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 209 W Jefferson Ave, Bastrop, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386186039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kimball Tate, 209 W Jefferson Ave, Bastrop, LA 71220-4543 Ph: (318) 239-3890 | Kimball Tate, 209 W Jefferson Ave, Bastrop, LA 71220-4543 Ph: (318) 239-3890 |
Annie Massey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Curt Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 E Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3862 Fax: 318-239-3867 | |
Lee Antwine Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, 209 West Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Randy Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Franklin St, Bastrop, LA 71220 Phone: 318-410-1062 | |
Adrian Burnette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Nicole Dantzler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 | |
Felicia Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W Jefferson Ave, Bastrop, LA 71220 Phone: 318-239-3890 |