Provider Demographics
NPI:1124097787
Name:TILLERY, APRIL MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MICHELLE
Last Name:TILLERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 HOUSTON RD STE 19
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4882
Mailing Address - Country:US
Mailing Address - Phone:859-341-5550
Mailing Address - Fax:859-344-3782
Practice Address - Street 1:7000 HOUSTON RD STE 19
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4882
Practice Address - Country:US
Practice Address - Phone:859-341-5550
Practice Address - Fax:859-344-3782
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-073445207VG0400X
KY34720207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH160051009OtherRAILROAD MEDICARE
OH2207749Medicaid
KY64016421Medicaid
OH2207749Medicaid
OH160051009OtherRAILROAD MEDICARE