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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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