Kyle Coward

NPI #1225498777 in Chicago, Illinois

Provider Information

NPI Number: 1225498777
Entity Type: Individual
Name: Kyle Coward
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 6901 S OGLESBY AVE APT 3B
City: Chicago
State: Illinois
ZIP Code: 60649-1827
Phone: (773) 610-0739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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