Kovacic, Kelly D
Kovacic, Kelly D is an individual health care provider with primary practice located at 17 E River St Ste A , Newton Falls OH 44444-1372. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kovacic, Kelly D can be contacted via phone (330) 872-7242.Contact Information
Primary practice address
17 E River St Ste A
Newton Falls OH 44444-1372
Phone: (330) 872-7242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 09059 | Ohio |
Profile Details
| NPI number | 1215918909 |
|---|---|
| LBN Legal business name | Kovacic, Kelly D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Apr 12th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215918909 | NPPES |
| Ohio | Other | 6500222996 | MEDICARE RAILROAD |
| Ohio | Other | 000000198483 | MEDICARE RAILROAD |
| Ohio | MEDICAID | 2278762 | MEDICARE RAILROAD |
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