Tillett, Kevin Dean
Tillett, Kevin Dean is an individual health care provider with primary practice located at 15220 Dandelion Ln , Fontana CA 92336-4230. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Tillett, Kevin Dean can be contacted via phone (909) 780-9141.Contact Information
Primary practice address
15220 Dandelion Ln
Fontana CA 92336-4230
Phone: (909) 780-9141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | California |
Profile Details
| NPI number | 1174363147 |
|---|---|
| LBN Legal business name | Tillett, Kevin Dean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2024 |
| Last updated | May 28th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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