Individual
MR. FRED D KOVALCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
10 TRIEBLE DR, TUNKHANNOCK, PA 18657-7054
(570) 996-2700
(570) 996-2711
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002483L
PA
Other
Enumeration date
03/25/2006
Last updated
05/10/2022
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