Individual
KADIE LEAH KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
1040 ASHFORD CT, FORT COLLINS, CO 80526-3956
(970) 889-2880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13798480-1206
UT
Other
Enumeration date
01/12/2024
Last updated
12/10/2024
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