Provider Demographics
NPI:1295205284
Name:KILIAN, SYDNEY ERIN (CSA)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ERIN
Last Name:KILIAN
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 NEW LAND RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-1397
Mailing Address - Country:US
Mailing Address - Phone:757-240-1444
Mailing Address - Fax:
Practice Address - Street 1:1633 NEW LAND RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-1397
Practice Address - Country:US
Practice Address - Phone:757-240-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant