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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHERINE LYNN LEIVA, RDH

Active Sole Proprietor

KATHERINE LYNN LEIVA, RDH is a Dental Hygienist healthcare provider located in PINGREE GROVE, Illinois. NPI 1124666573 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · PINGREE GROVE, IL

Registration Details

NPI Number
1124666573
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2019 (6.6395806114308 yrs)
Last Updated
Dec 17, 2019
License
020012552 (IL)
Sole Proprietor
Yes

Practice Information

Address
1791 DEMPSEY CIR
PINGREE GROVE, IL, 601408019
Browse IL providers · Browse ZIP 60140
Phone
8153251114
Primary Specialty
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.