Kyle Lee Tillman is an independent duty corpsman military health care provider in San Diego, CA. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. Kyle Lee Tillman NPI is 1730704925. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2709 MEADOW LARK DR APT B
SAN DIEGO, CA
ZIP 92123-217
Phone: (910) 231-9911
The enumeration date for this NPI number is 6/12/2020 and was last updated on 6/12/2020.