Tilley, Katy

Tilley, Katy is an individual health care provider with primary practice located at 1206 Highway 411 , Vonore TN 37885-2455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tilley, Katy can be contacted via phone (423) 884-7271.

Contact Information

Primary practice address
1206 Highway 411 Vonore TN 37885-2455
Fax: (423) 884-3277
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20895 Tennessee

Profile Details

NPI number 1457712424
LBN Legal business name Tilley, Katy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457712424 NPPES
Tennessee Other 20895 STATE LICENSE

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