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NPI Code Detail

MEDICARE: SIDNEY TINNER

MEDICARE: SIDNEY TINNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103402OTHERKSBSRB

General Provider Information

NPI Number : 1578378709
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY TINNER
Provider Business Mailing Address
First Line : 1519 MERCHANT ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-5005
Country : US
Telephone Number : 620-208-3236
Fax Number : 620-342-1021
Provider Business Practice Location Address
First Line : 1519 MERCHANT ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-5005
Country : US
Telephone Number : 620-208-3236
Fax Number : 620-342-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 02/13/2025

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Directions to “ SIDNEY TINNER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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