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

Kimberly Susan Tillett

Individual provider Licensed Practical Nurse · NPI 1275011835

Kimberly Susan Tillett is a Licensed Practical Nurse in Dix Hills, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

22 Millet St
Dix Hills, NY 11746
Phone: (631) 205-8541
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 292835-1 (NY)

Record details

NPI number1275011835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2018
Last updated in NPPESAugust 4, 2018

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