Tillotson, Kelley
Tillotson, Kelley is an individual health care provider with primary practice located at 421 Memorial Dr , Pocatello ID 83201-4008. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Tillotson, Kelley can be contacted via phone (208) 234-7954.Contact Information
Primary practice address
421 Memorial Dr
Pocatello ID 83201-4008
Phone: (208) 234-7954
Fax: (208) 236-6328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 26756 | Idaho |
Profile Details
| NPI number | 1346602091 |
|---|---|
| LBN Legal business name | Tillotson, Kelley |
| Credentials | R.N., BSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Mar 22nd, 2016 - about 8 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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