Tillotson, Kimberly Kay

Tillotson, Kimberly Kay is an individual health care provider with primary practice located at 18300 Highway 18 , Apple Valley CA 92307-2215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tillotson, Kimberly Kay can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Highway 18 Apple Valley CA 92307-2215
Phone: (760) 242-2311
Fax: (760) 946-8875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW1393 California

Profile Details

NPI number 1063515187
LBN Legal business name Tillotson, Kimberly Kay
Credentials CNM/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Nov 6th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063515187 NPPES
California MEDICAID NMW0013930

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