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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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