Individual
KATHRYN COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 588-0506
Mailing address
310 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 588-0506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42098297116
UNITED HEALTHCARE OF THE RIVER VALLEY
IA
Enumeration date
05/06/2009
Last updated
05/06/2009
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