Individual
MS. CHRISTINE NICOLE KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
724 AUBREY BELL DR, MATTHEWS, NC 28105-5055
(704) 295-3550
(704) 295-3556
Mailing address
724 AUBREY BELL DR, MATTHEWS, NC 28105-5055
(704) 295-3550
(704) 295-3556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06969
NC
363AM0700X
Medical Physician Assistant
0110005070
VA
363AM0700X
Medical Physician Assistant
6727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19NLA
BCBSNC
NC
05
—
2830PA
—
SC
01
—
5277888
AETNA
—
Enumeration date
04/10/2013
Last updated
04/21/2017
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