Provider Demographics
NPI:1932098894
Name:MILORD, KESLINE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:KESLINE
Middle Name:
Last Name:MILORD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 CHITTENDON ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1564
Mailing Address - Country:US
Mailing Address - Phone:347-970-3820
Mailing Address - Fax:
Practice Address - Street 1:1331 CHITTENDON ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1564
Practice Address - Country:US
Practice Address - Phone:347-970-3820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY816293163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse