Individual
DR. KENNETH WILLIAM COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10775 163RD PLACE, ORLAND PARK, IL 60467
(708) 403-7888
(708) 403-7678
Mailing address
10775 163RD PLACE, ORLAND PARK, IL 60467
(708) 403-7888
(708) 403-7678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-020157
IL
Other
Enumeration date
11/16/2006
Last updated
08/01/2023
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