Tillman, Kenhdra
Tillman, Kenhdra is an individual health care provider with primary practice located at 1029 Prigge Rd , Saint Louis MO 63138-3553. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Tillman, Kenhdra can be contacted via phone (314) 406-4315.Contact Information
Primary practice address
1029 Prigge Rd
Saint Louis MO 63138-3553
Phone: (314) 406-4315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X |
Profile Details
| NPI number | 1649861956 |
|---|---|
| LBN Legal business name | Tillman, Kenhdra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2021 |
| Last updated | Jan 29th, 2021 - about 5 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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