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Keyanna Dortch
NPI 1386058618 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4911 W Kamerling Ave
Chicago, IL 60651 - Phone
- (773) 678-8297
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2014-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois