Kovanda Plastic Surgery, Pllc
LBN: Kovanda Plastic Surgery, Pllc
Kovanda Plastic Surgery, Pllc is an health care organization with primary practice located at 4999 France Ave S Ste 210 , Edina MN 55410-2168. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Kovanda Plastic Surgery, Pllc can be contacted via phone (612) 335-9032, or through Kovanda, Christopher John via phone (763) 416-0676.
Contact Information
Primary practice address
4999 France Ave S Ste 210
Edina MN 55410-2168
Phone: (612) 335-9032
Fax:
Website:
Authorized official contact:
Name: Kovanda, Christopher John Doctor of Medicine (MD)
Phone: (763) 416-0676
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 41657 | Minnesota |
Profile Details
| NPI number | 1447484159 |
|---|---|
| LBN Legal business name | Kovanda Plastic Surgery, Pllc |
| DBA Doing business as | |
| Authorized official | Kovanda, Christopher John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2009 |
| Last updated | Dec 10th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447484159 | NPPES |
| Other | 1861501082 | NPI INDIVIDUAL | |
| MEDICAID | 852226000 | NPI INDIVIDUAL |
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