Individual
AMY M KOVALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN295024-COA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2876240
—
OH
Enumeration date
08/20/2008
Last updated
04/06/2020
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