Keelie Tillett, APRN is a
Nurse Practitioner - Family based in Eminence, Kentucky. Keelie Tillett is licensed to practice in Kentucky (license number 4044338) and her current practice location is
151 E Broadway St, Eminence, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 845-6288.
NPI number for Keelie Tillett is 1548131469 and her current mailing address is 5069 Tealwood Dr, Shelbyville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548131469.
Provider's Profile
| Full Name | Keelie Tillett |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 151 E Broadway St, Eminence, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548131469
- Provider Enumeration Date: 09/15/2025
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Keelie Tillett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548131469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 4044338 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keelie Tillett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keelie Tillett, APRN
5069 Tealwood Dr,
Shelbyville, KY 40065-6355
Ph: (502) 220-2661 | Keelie Tillett, APRN
151 E Broadway St,
Eminence, KY 40019-1149
Ph: (502) 845-6288 |
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