National Provider Identifier
Kristen Amanda Lillis, MSED
Kristen Amanda Lillis, MSED is listed in the NPPES registry with a primary specialty of Specialist in Getzville, NY and a listed phone number of (716) 629-3400.
Profile Overview
- NPI
- 1255964961
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- February 20, 2020
- Last Updated
- February 20, 2020
Practice Location
- 150 Stahl RD
- Getzville, NY 14068-1231
Phone: (716) 629-3400
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1255964961
- Entity Type
- Individual
- Last Name
- Lillis
- First Name
- Kristen
- Middle Name
- Amanda
- Credential
- MSED
- Mailing Street Address
- 150 Stahl RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1231
- Mailing Country
- US
- Mailing Phone
- (716) 629-3400
- Practice Street Address
- 150 Stahl RD
- Practice City
- Getzville
- Practice State
- NY
- Practice ZIP Code
- 14068-1231
- Practice Country
- US
- Practice Phone
- (716) 629-3400
- Enumeration Date
- February 20, 2020
- Last Updated
- February 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)