Tiller, Kevin Wade

Tiller, Kevin Wade is an individual health care provider with primary practice located at 2450 Stanley Rd Ste 208 , Fort Sam Houston TX 78234-6102. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tiller, Kevin Wade can be contacted via phone (210) 221-8681.

Contact Information

Primary practice address
2450 Stanley Rd Ste 208 Fort Sam Houston TX 78234-6102
Fax: (210) 295-2789
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 015237 Georgia
Pharmacy Service Providers / Pharmacist 183500000X 44097 Texas

Profile Details

NPI number 1760533343
LBN Legal business name Tiller, Kevin Wade
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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