Individual provider · Type 1 NPI

Samuel Kovell, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1073129532 Active

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-5127

Mailing address

51 N 39th St
Philadelphia, PA 19104-2640

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA061631 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1073129532

Samuel Kovell, PA-C's National Provider Identifier is 1073129532, issued on Sep 21, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 8, 2021.