NPI 1639038169

Killeen Hultgren

Practitioner Health & Wellness Coach Crystal Lake, IL

Practice location

Address: 390 E Congress Pkwy, Crystal Lake, IL 60014-6202
Phone: (815) 355-1605
Mailing address: 609 Hunters Way, Fox River Grove, IL 60021-1825

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1639038169
Entity type: Individual
Sex (as registered): X
NPI issued: 20 Jan 2026
Record last updated: 20 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.