Individual provider · Type 1 NPI

Kansas Tilbury

Specialist · Detroit Lakes, MN

NPI number 1346113255 Active

Practice location

1041 Hawk St
Detroit Lakes, MN 56501-6958

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1346113255

Kansas Tilbury's National Provider Identifier is 1346113255, issued on Sep 26, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Sep 26, 2025.