Individual provider · Type 1 NPI

Kelley Tillotson, R.N., BSN

Adult Psychiatric/Mental Health Registered Nurse · Pocatello, ID

NPI number 1346602091 Active

Practice location

421 Memorial Dr
Pocatello, ID 83201-4008

Fax (208) 236-6328

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X26756 (ID)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1346602091

Kelley Tillotson, R.N., BSN's National Provider Identifier is 1346602091, issued on Mar 22, 2016. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Pocatello, ID. The record was last updated on Mar 22, 2016.