Kenyatta Tillman
Case Manager/Care Coordinator in Bossier City, LA. Individual provider (NPI-1).
NPI number1669929667
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1669929667
- Entity type
- Individual (NPI-1)
- Name
- Kenyatta Tillman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2016
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3018 Old Minden Rd Ste 1117Bossier City, LA 71112-2497
Phone 318-746-1935
Mailing address
3018 Old Minden Rd Ste 1117Bossier City, LA 71112-2497
Phone 318-746-1935
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All 252 Case Manager/Care Coordinator providers in Bossier City · All 1,861 providers in Bossier City
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