Individual provider · Type 1 NPI
Jeffrey Arnold Kovnick, MD
Child & Adolescent Psychiatry Physician · Ketchum, ID
NPI number
1770701609
Active
Practice location
PO Box 6106
Ketchum, ID 83340-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 184995-1205 (UT) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | M-17191 (ID) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
About NPI 1770701609
Jeffrey Arnold Kovnick, MD's National Provider Identifier is 1770701609, issued on Apr 24, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Ketchum, ID. The record was last updated on Mar 19, 2025.