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
Phone: (210) 221-8681
Fax: (210) 295-2789
Website:
Health care specialties
Specialty | Code | License # | 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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