Individual provider · Type 1 NPI

Grace Gloria Kovalik, LPN

Licensed Practical Nurse · Dexter, NY

NPI number 1104125376 Active

Practice location

25532 Road 152
Dexter, NY 13634-2162

Call (315) 639-3640 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293028-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104125376

Grace Gloria Kovalik, LPN's National Provider Identifier is 1104125376, issued on Mar 27, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dexter, NY. The record was last updated on Mar 27, 2011.