Individual ProviderKawana Ruby DillardRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(646) 594-0526PECOS EnrollmentBased on the most recent information from CMS, provider Kawana Ruby Dillard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1497556054Provider TypeIndividualFull NameDillard, Kawana RubyCredentialRNGenderFemaleSole ProprietorYesEnumeration Date3/20/2025Last Updated3/20/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(646) 594-0526FaxUnlisted FaxMailing LocationMailing Address642 Eldert Ln Apt 6f, Brooklyn, NY 11208-3377Phone(646) 594-0526FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense976145New York