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1104412246
KDD VITAL HEALTH AND CONSULTING, LLC
SOUTH HOLLAND, IL
NPI
1104412246
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Entity Type
Organization
Authorized Contact
KENISHA DAVIS
Fnp
708-655-1482
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-12-14
Last Update Date
2023-09-06
Business Address
KDD VITAL HEALTH AND CONSULTING, LLC
16266 PRINCE DR
SOUTH HOLLAND, IL 60473-3233
Phone number: 708-222-7333
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Mailing Address
KDD VITAL HEALTH AND CONSULTING, LLC
1393 BRANDYWINE RD
CROWN POINT, IN 46307-9307
Phone number: 708-655-1482
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