Individual provider · Type 1 NPI
Courtney Koppenal Kovalick, PA-C
Medical Physician Assistant · Raleigh, NC
NPI number
1831373984
Active
Practice location
3840 Ed Dr, Suite 111
Raleigh, NC 27612-8005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0010-01066 (NC) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1831373984
Courtney Koppenal Kovalick, PA-C's National Provider Identifier is 1831373984, issued on Dec 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 7, 2013.