Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilly Kanishka, MD

Individual provider Neurology Physician · NPI 1477282341

Lilly Kanishka, MD is a Neurology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

175 N Medical Dr Rm 5675
Salt Lake City, UT 84112-1103
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 14243531-1205 (UT)

Record details

NPI number1477282341
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

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