Kimberly Lynn Tiller, PA-C
Kimberly Lynn Tiller, PA-C is a Physician Assistant in Edwardsville, Illinois. Qualified in 2018, 8 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 8
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2122 Troy Rd Ste 130Edwardsville, IL 62025-2540
Phone: (618) 800-4500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4500 Memorial Dr, Belleville, IL 62226-5360 — (618) 233-7750
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.006897 (IL) |
|---|
Record details
| NPI number | 1467930883 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 30, 2018 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | August 2, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Fairview Heights Medical Group Sc — 448 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Edwardsville
-
Marion Elsa Gabou Dessalines, PA-C
2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 · (618) 800-4595
-
Mrs. Courtney M McFarlin, PA
2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 · (618) 800-4595
-
Di'Ara Woods, PA-C
3 Club Centre Ct Ste B1, Edwardsville, IL 62025-3519 · (618) 699-4402