Individual provider · Type 1 NPI

Kevin Michael Lillis, BSN, RN

Critical Care Medicine Registered Nurse · Little Rock, AR

NPI number 1255688263 Active

Practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Mailing address

1001 Mcnutt Rd Lot 33
Conway, AR 72034-9343

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XR88599 (AR)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1255688263

Kevin Michael Lillis, BSN, RN's National Provider Identifier is 1255688263, issued on Aug 8, 2012. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Little Rock, AR. The record was last updated on Aug 8, 2012.