Individual
AMY ILLOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-5176
Mailing address
2220 CANTERBURY DR, HAYS, KS 67601-2370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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