Individual
KRISTA DAWN KOVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
PO BOX 671727, CHUGIAK, AK 99567-1727
(937) 621-7300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
133444
AK
164W00000X
Licensed Practical Nurse
139155
OH
164W00000X
Licensed Practical Nurse
27065057A
IN
164X00000X
Licensed Vocational Nurse
308048
TX
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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