Kovalick, Kimberly Ann M.
Kovalick, Kimberly Ann M. is an individual health care provider with primary practice located at 560 Pierce St , Kingston PA 18704-5716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kovalick, Kimberly Ann M. can be contacted via phone (570) 283-2161.Contact Information
Primary practice address
560 Pierce St
Kingston PA 18704-5716
Phone: (570) 283-2161
Fax: (570) 714-0670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS009116L | Pennsylvania |
Profile Details
| NPI number | 1336109651 |
|---|---|
| LBN Legal business name | Kovalick, Kimberly Ann M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Aug 28th, 2020 - about 4 years 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 | 1336109651 | NPPES |
| Pennsylvania | MEDICAID | 001706740 |
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