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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KEILAH AMARYLLIS DIAZ

Active Sole Proprietor

MISS KEILAH AMARYLLIS DIAZ is a Specialist/Technologist, Surgical healthcare provider located in BRISTOL, Connecticut. NPI 1184482085 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · BRISTOL, CT

Registration Details

NPI Number
1184482085
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2024 (2.4592176306895 yrs)
Last Updated
Mar 6, 2024
Sole Proprietor
Yes

Practice Information

Address
42 STAFFORD AVE APT B1
BRISTOL, CT, 060104610
Browse CT providers · Browse ZIP 06010
Phone
2039529134
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.