Individual
DR. CANDACE L TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP. APRN, FNP-C
Contact information
Practice address
1209 W EVERLY BROTHERS BLVD, CENTRAL CITY, KY 42330-1823
(270) 977-3613
Mailing address
1209 W EVERLY BROTHERS BLVD, CENTRAL CITY, KY 42330-1823
(270) 977-3613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3014957
KY
363LF0000X
Family Nurse Practitioner
Primary
3014957
KY
Other
Enumeration date
08/18/2020
Last updated
01/09/2023
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