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

Kenna Tillman, CST, CSFA

Individual provider Orthopaedic Surgery Physician · NPI 1649929647

Kenna Tillman, CST, CSFA is an Orthopaedic Surgery Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

800 N 1st St
Springfield, IL 62702-3778
Phone: (217) 528-7541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 207597 (IL)

Record details

NPI number1649929647
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST , CSFA
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address800 N 1st St, Springfield, IL 62702-3778

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