NPI 1477282341 · live from the CMS NPI Registry
Lilly Kanishka, MD
Psychiatry & Neurology, Neurology in Salt Lake City, UT. National Provider Identifier 1477282341, active.
NPI record
| NPI | 1477282341 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 175 N Medical Dr Rm 5675, Salt Lake City, UT 84112 |
| Practice phone | 801-581-2121 |
| Enumerated | June 7, 2022 |
| Last updated | November 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 14243531-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.