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Individual

KIMBERLY J COVINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CRNA

Contact information

Practice address
225 MEDICAL CENTER DR, SUITE 105, PADUCAH, KY 42003-7914
(270) 441-4500
(270) 441-4289
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3002549
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000359108
KY BCBS IND
KY
01
000000543460
BC KY
KY
05
74483249
KY
01
P01099559
RAIL ROAD MEDICARE
KY
Enumeration date
03/05/2007
Last updated
09/09/2015
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