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Individual
MS. LEAH D KOVAL
Active
Individual
MS. LEAH D KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA052672
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103185064
—
PA
01
—
11758821
CAQH
—
Enumeration date
04/19/2007
Last updated
10/06/2020
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