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KEANNA JALEESA DILDY
NPI 1265016869
Technician/Technologist in Grosse Pointe Woods, MI

Active since May 10, 2021
19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 48236(313) 343-1370(248) 712-4381 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keanna Jaleesa Dildy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEANNA JALEESA DILDY (NPI 1265016869) is an individual technician/technologist in Grosse Pointe Woods, Michigan and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1265016869
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameKEANNA JALEESA DILDY
Location Address19251 MACK AVE STE M450Grosse Pointe Woods, MI 48236-2893
Mailing Address19251 Mack Ave Ste M450Grosse Pointe Woods, MI 48236-2893 · (313) 343-1370 · Fax (248) 712-4381
Phone(313) 343-1370
Fax(248) 712-4381
Sole ProprietorNo
Enumeration DateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1265016869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19251 MACK AVE STE M450, Grosse Pointe Woods, MI 48236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA K MALCOLM
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County No phone listed
ASHLEY CRONK
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
RAVEN HARRELL
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
ALEXIS SMITH
Behavior Technician
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
MR. OMOLARA CEASAR
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
MISS ANGELINA CAVALIERE
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
DANIELLE REID
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370
JAKE MITCHELL
Technician/Technologist
19251 MACK AVE STE M450
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 343-1370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keanna Dildy's NPI number?

The NPI number for Keanna Dildy is 1265016869. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Keanna Dildy located?

Keanna Dildy practices at 19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 343-1370.

What is Keanna Dildy's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Keanna Dildy was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.