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KEONA JEWEL TILLMON
NPI 1003476383
Technician, Other in Las Vegas, NV

Active since June 18, 2019
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102(702) 784-5541(702) 915-7664 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keona Jewel Tillmon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEONA JEWEL TILLMON (NPI 1003476383) is an individual technician, other provider in Las Vegas, Nevada and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1003476383
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameKEONA JEWEL TILLMON
Location Address3920 W CHARLESTON BLVD STE OLas Vegas, NV 89102-1633
Mailing Address3920 W Charleston Blvd Ste OLas Vegas, NV 89102-1633 · (702) 784-5541 · Fax (702) 915-7664
Phone(702) 784-5541
Fax(702) 915-7664
Sole ProprietorNo
Enumeration DateJune 18, 2019
✔ NPI 1003476383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

3920 W CHARLESTON BLVD STE O, Las Vegas, NV 89102
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSELINE AGBETORWOKA
Registered Nurse
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
STEVEN NIEL TREAT
Home Health Aide
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
ALAGACARE,LLC
Counselor (Addiction (Substance Use Disorder))
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
LEAH CATHERINE AUGUSTINE
Counselor (Mental Health)
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (504) 723-8743
PATIENCE ROSE HARMON
Home Health Aide
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
DOMINIQUE BRISCO
Home Health Aide
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
ALAGACARE,LLC
Clinic/Center (Community Health)
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 478-5541
ROSALIND BAKER
Home Health Aide
3920 W CHARLESTON BLVD STE O
LAS VEGAS, NV 89102
Clark County (702) 358-3665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keona Tillmon's NPI number?

The NPI number for Keona Tillmon is 1003476383. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Keona Tillmon located?

Keona Tillmon practices at 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102. The listed phone number is (702) 784-5541.

What is Keona Tillmon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Keona Tillmon was last updated on June 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.