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Individual
LEONARD K KOVALICK
Active
Individual
LEONARD K KOVALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18227
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5007064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228065
RN PERMANENT LICENCE
NC
01
—
5007064
NURSE PRACTITIONER
NC
Enumeration date
08/13/2014
Last updated
05/10/2021
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