| Doctor Name: | MS. KYRA DEE TATMAN |
| NPI Number: | 1679768774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,MSN,ACNP |
| License Number: | 15256 |
| Business Practice Address: | 8700 Pershing Dr Unit 2305 Playa Del Rey, CA - 902938040 |
| Business Phone Number: | 3102223516 |
| Business Fax Number: | |
| Mailing Address: | 100 W. Carson Street, Box 42 TORRANCE |
| State: | CA |
| Postal Code: | 90509 |
| Phone Number: | 3102221912 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 15256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |