Kimberly Lynn Tiller, PA-C
NPI #1467930883 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1467930883
- Entity Type
- Individual
- Name
- Kimberly Lynn Tiller, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 2122 TROY RD STE 130
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2540
- Phone
- (618) 800-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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