Tillett, Kimberly Susan

Tillett, Kimberly Susan is an individual health care provider with primary practice located at 22 Millet St. , Dix Hills NY 11746. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tillett, Kimberly Susan can be contacted via phone (631) 205-8541.

Contact Information

Primary practice address
22 Millet St. Dix Hills NY 11746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 292835-1 New York

Profile Details

NPI number 1275011835
LBN Legal business name Tillett, Kimberly Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2018
Last updated Aug 4th, 2018 - about 6 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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