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Organization
KYLIN KOVAC DPM PLLC
Active
Organization
KYLIN KOVAC DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIN KOVAC DPM (OWNER, PHYSICIAN)
(208) 529-8393
Entity
Organization
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 529-8393
Mailing address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
(208) 529-8398
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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