Kimberly L Tillman

NPI #1881000461 in Cleveland, Ohio

Provider Information

NPI Number
1881000461
Entity Type
Organization
Organization Name
Kimberly L Tillman
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 3, 2014
Last Updated
Jul 3, 2014

Practice Location

Address
11410 ASHBURY AVE
State
Ohio
ZIP Code
44106-1310
Phone
(216) 246-8014

Authorized Official

Name
KIMBERLY L TILLMAN
Title
PN.M-IV
Phone
(216) 246-8014

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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