Individual provider · Type 1 NPI

Kenhdra Tillman

Nurse's Aide · St. Louis, MO

NPI number 1649861956 Active

Practice location

1029 Prigge Rd
St. Louis, MO 63138-3553

Call (314) 406-4315 Map

Mailing address

10617 Dunkeld Cir
St. Louis, MO 63137-3855

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	None listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1649861956

Kenhdra Tillman's National Provider Identifier is 1649861956, issued on Jan 29, 2021. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 29, 2021.