Provider Demographics
NPI:1194545400
Name:DILWORTH, KALIA
Entity type:Individual
Prefix:
First Name:KALIA
Middle Name:
Last Name:DILWORTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 ENDICOTT CT APT 15
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3106
Mailing Address - Country:US
Mailing Address - Phone:517-348-8594
Mailing Address - Fax:
Practice Address - Street 1:1034 ENDICOTT CT APT 15
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3106
Practice Address - Country:US
Practice Address - Phone:517-348-8594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula