Individual provider · Type 1 NPI

Lilly Kanishka, MD

Neurology Physician · Salt Lake City, UT

NPI number 1477282341 Active

Practice location

175 N Medical Dr Rm 5675
Salt Lake City, UT 84112-1103

Call (801) 581-2121 Map

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X14243531-1205 (UT)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1477282341

Lilly Kanishka, MD's National Provider Identifier is 1477282341, issued on Jun 7, 2022. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 10, 2025.