Individual
MRS. KATLYN COYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST STE 530, PEORIA, IL 61602-1005
(309) 672-5975
Mailing address
900 MAIN ST STE 530, PEORIA, IL 61602-1005
(309) 672-5975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2020
Last updated
10/12/2020
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