Individual
KIP WILLIAM SOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-3869
Mailing address
37 SOUTH ST, BERLIN HEIGHTS, OH 44814-9608
(419) 541-1332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.0031836
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031836
OH
Other
Enumeration date
07/20/2022
Last updated
08/06/2025
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