Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenhdra Tillman

Individual provider Nurse's Aide · NPI 1649861956

Kenhdra Tillman is a Nurse's Aide in Saint Louis, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1029 Prigge Rd
Saint Louis, MO 63138-3553
Phone: (314) 406-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1649861956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address10617 Dunkeld Cir, Saint Louis, MO 63137-3855

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