Individual
MISS KIMBERLY COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 173RD ST, HAZEL CREST, IL 60429-1701
(708) 574-1342
Mailing address
2829 173RD ST, HAZEL CREST, IL 60429-1701
(708) 574-1342
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020.018465
IL
133NN1002X
Nutrition Education Nutritionist
Primary
—
IL
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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