Kanisha Tillery
NPI #1962176222 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1962176222
- Entity Type
- Individual
- Name
- Kanisha Tillery
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Aug 2, 2021
Practice Location
- Address
- 126 THOMPSON ST
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12601-2621
- Phone
- (845) 264-9697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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