National Provider Identifier

Kyria Gilliam

Kyria Gilliam is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 333-6937.

NPI 1881363596Rochester, NYSpecialist

Profile Overview

NPI
1881363596
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 08, 2021
Last Updated
November 17, 2021

Practice Location

  • 1182 Dewey Ave
  • Rochester, NY 14613-1321

Phone: (585) 333-6937

Specialties

  • Specialist (174400000X)

Endpoints

  • N/a

    Other Url | Rochester, NY 14620

Full Record
NPI
1881363596
Entity Type
Individual
Last Name
Gilliam
First Name
Kyria
Mailing Street Address
1182 Dewey Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1321
Mailing Country
US
Mailing Phone
(585) 333-6937
Practice Street Address
1182 Dewey Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1321
Practice Country
US
Practice Phone
(585) 333-6937
Enumeration Date
September 08, 2021
Last Updated
November 17, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
November 03, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)