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
Phone: (423) 884-7271
Fax: (423) 884-3277
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457712424 | NPPES |
| Tennessee | Other | 20895 | STATE LICENSE |
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