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Individual

DR. JEAN M COVILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNAP, CRNA

Contact information

Practice address
11261 NALL AVE STE 200, LEAWOOD, KS 66211-1696
(913) 721-3641
(913) 721-3649
Mailing address
13851 W 63RD ST STE 433, SHAWNEE, KS 66216-3800
(913) 721-3641
(913) 721-3649

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108523
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
108523
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001514701
COMMUNITY HEALTH PLAN
KS
05
100254420E
KS
01
10770
PREFERRED HEALTH SYSTEMS
KS
01
145350
BLUE CROSS BLUE SHIELD KANSAS
KS
01
25266032
BCBS OF KANSAS CITY
MO
01
406B00014
MEDICARE PTAN
KS
01
66048A005
WPS TRICARE
MO
05
918614223
MO
01
P00369535
RAILROAD MEDICARE
MO
01
P00395162
RAILROAD MEDICARE
KS
Enumeration date
11/18/2005
Last updated
01/16/2026
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