Individual
KATHERINE KELLE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN ACNS-BC
Contact information
Practice address
1919 8TH AVE, FORT WORTH, TX 76110-1358
(817) 332-7722
(817) 582-4977
Mailing address
1919 8TH AVE, FORT WORTH, TX 76110-1358
(817) 332-7722
(817) 582-4977
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
AP129952
TX
Other
Enumeration date
06/18/2019
Last updated
06/02/2025
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