Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KURT KRIZTOFER KOVALOVICH, DPM
Active Sole ProprietorKURT KRIZTOFER KOVALOVICH, DPM is a Radiology Podiatrist healthcare provider located in PINE GROVE, Pennsylvania. NPI 1316945496 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · PINE GROVE, PA
Registration Details
- NPI Number
- 1316945496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.118062566116 yrs)
- Last Updated
- Nov 30, 2009
- License
-
SC003328R (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
185 S TULPEHOCKEN STPINE GROVE, PA, 179631029Browse PA providers · Browse ZIP 17963
- Phone
- 5703456301
- Fax
- 5703452626
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.