Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC26156 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | DC 26156 | CA |
N | 111NS0005X | Chiropractic Sports Physician | DC 26156 | CA |
N | 111NX0100X | Occupational Health | DC 26156 | CA |
NPI | 1124171707 |
---|---|
Provider Name | Dr. Kai K Tiltmann |
First Address | San Francisco, CA 94111 |
Second Address | San Francisco, CA 94111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 18/05/2009 |