Individual
DR. KEITHA ANN COVALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2001 S GLENBURNIE RD, NEW BERN, NC 28562-5228
(252) 633-6900
(252) 633-6754
Mailing address
2001 S GLENBURNIE RD, NEW BERN, NC 28562-5228
(252) 633-6900
(252) 633-6754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093HK
BCBSNC PIN
NC
05
—
89093HK
—
NC
Enumeration date
06/15/2005
Last updated
07/30/2008
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