Individual
DR. REGAN MICHELE TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7840 E US 24 HWY, MANHATTAN, KS 66502
(785) 775-1155
(785) 775-1156
Mailing address
7840 E US 24 HWY, MANHATTAN, KS 66502
(785) 775-1155
(785) 775-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-38045
KS
207Q00000X
Family Medicine Physician
2012020612
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002327
MEDICARE PTAN
KS
Enumeration date
06/25/2012
Last updated
08/10/2021
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