Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Tillman

Individual provider Licensed Practical Nurse · NPI 1679989172

Kimberly Tillman is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
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Practice location Address checks out

11410 Ashbury Ave
Cleveland, OH 44106
Phone: (216) 246-8014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN.143666M-IV (OH)

Record details

NPI number1679989172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2014
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

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