Doctor Name: | MRS. KATHLEEN A KOVACS |
NPI Number: | 1003872151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F332134-1 |
Business Practice Address: | 1430 Colvin Blvd Tonawanda, NY - 142231440 |
Business Phone Number: | 7168744060 |
Business Fax Number: | 7168711198 |
Mailing Address: | 1430 Colvin Blvd, TONAWANDA |
State: | NY |
Postal Code: | 142231440 |
Phone Number: | 7168744060 |
Fax Number: | 7168711198 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F332134-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |