Kendall Tilllis Valid NPI
Individual provider · Case Manager/Care Coordinator · Denham Springs, LA
- NPI
- 1760166110
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
Practice location
8808 Greenleaves Dr
Denham Springs, LA 70726-6742
(985) 981-1435