LILLY KANISHKA

SALT LAKE CITY, UT
NPI1477282341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: UT  14243531-1205)
Enumeration Date2022-06-07
Last Update Date2025-11-10
Business Address
LILLY KANISHKA MD
175 N MEDICAL DR RM 5675
SALT LAKE CITY, UT 84112-1103
Phone number: 801-581-2121
Mailing Address
LILLY KANISHKA MD
175 N MEDICAL DR RM 5675
SALT LAKE CITY, UT 84112-1103
Phone number: 801-581-2121