Individual provider · Type 1 NPI
Kurt Kriztofer Kovalovich, DPM
Primary Podiatric Medicine Podiatrist · Pine Grove, PA
NPI number
1316945496
Active
Practice location
185 S Tulpehocken St
Pine Grove, PA 17963-1029
Fax (570) 345-2626
Mailing address
PO Box 167, 185 S Tulpehocken St
Pine Grove, PA 17963-0167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | SC003328R (PA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1316945496
Kurt Kriztofer Kovalovich, DPM's National Provider Identifier is 1316945496, issued on Jul 12, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Pine Grove, PA. The record was last updated on Nov 30, 2009.