Search › Illinois › 104100000X
Kanisha Alston
NPI 1861282246 · on the registry since 2025 · sole proprietor
Practice
- Address
- 820 W Freeman St Apt 211
Carbondale, IL 62901 - Phone
- (618) 614-4500
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois