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Individual

DR. KIM L TILLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
280 CENTRAL AVE, SUNY AT FREDONIA, FREDONIA, NY 14063-1127
(716) 673-3203
(716) 673-3235
Mailing address
280 CENTRAL AVE, SUNY AT FREDONIA, FREDONIA, NY 14063-1127
(716) 673-3203
(716) 673-3235

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
0014251
NY

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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