Individual
VITALIY PAVLOVICH KOVDIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13201 E MANOR BLVD, BURNSVILLE, MN 55337-2093
(952) 649-2735
Mailing address
13201 E MANOR BLVD, BURNSVILLE, MN 55337-2093
(952) 649-2735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP.AP.70132652-NP
WA
363LF0000X
Family Nurse Practitioner
13629
MN
Other
Enumeration date
11/26/2025
Last updated
06/03/2026
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