Individual
VICKIE L KOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R., LMT
Contact information
Practice address
511 HEARTHSTONE CIRCLE, BARTONSVILLE, PA 18301
(570) 332-4365
Mailing address
511 HEARTHSTONE CIRCLE, BARTONSVILLE, PA 18301
(570) 332-4365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
XXX0000000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
509944311
NJ GUARANTY ASSOCIATION
NJ
01
—
509944311
HARTFORD
PA
Enumeration date
04/01/2008
Last updated
08/15/2013
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