Individual
KOURTNEY STORM KUYPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-1461
Mailing address
850 W ARMITAGE AVE APT 2F, CHICAGO, IL 60614-4367
(605) 321-1833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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