Individual
STEPHANIE DAWN KOVALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 MEDICAL CENTER DR, SEAMAN, OH 45679-8002
(513) 475-8521
(513) 475-7480
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3072
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.16591
OH
363LA2100X
Acute Care Nurse Practitioner
COA16591NP
OH
364SA2100X
Acute Care Clinical Nurse Specialist
5323P
KY
Other
Enumeration date
09/27/2007
Last updated
09/28/2020
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