Individual provider · Type 1 NPI

Ashley Nicole Kovac

Surgical Physician Assistant · Bridgeport, CT

NPI number 1063183226 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7266 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1063183226

Ashley Nicole Kovac's National Provider Identifier is 1063183226, issued on Sep 27, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on May 20, 2026.