Individual provider · Type 1 NPI

Kelly Jean Tilley

Student in an Organized Health Care Education/Training Program · Huntington, WV

NPI number 1194338392 Active

Practice location

1538 Charleston Ave
Huntington, WV 25701

Call (304) 696-7302 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194338392

Kelly Jean Tilley's National Provider Identifier is 1194338392, issued on Aug 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, WV. The record was last updated on Aug 26, 2020.