National Provider Identifier
Kim L Tillery, PHD
Kim L Tillery, PHD is listed in the NPPES registry with a primary specialty of Audiologist-Hearing Aid Fitter in Fredonia, NY and a listed phone number of (716) 673-3203.
Profile Overview
- NPI
- 1467599159
- Provider Type
- Individual
- Primary Specialty
- Audiologist-Hearing Aid Fitter
- Enumeration Date
- January 31, 2007
- Last Updated
- July 08, 2007
Practice Location
- 280 Central Ave
- Suny At Fredonia
- Fredonia, NY 14063-1127
Phone: (716) 673-3203
Specialties
- Audiologist-Hearing Aid Fitter (237600000X)
Full Record
- NPI
- 1467599159
- Entity Type
- Individual
- Last Name
- Tillery
- First Name
- Kim
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 280 Central Ave
- Mailing Address Line 2
- Suny At Fredonia
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1127
- Mailing Country
- US
- Mailing Phone
- (716) 673-3203
- Mailing Fax
- (716) 673-3235
- Practice Street Address
- 280 Central Ave
- Practice Address Line 2
- Suny At Fredonia
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1127
- Practice Country
- US
- Practice Phone
- (716) 673-3203
- Practice Fax
- (716) 673-3235
- Enumeration Date
- January 31, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Audiologist-Hearing Aid Fitter (237600000X)