Individual
DR. BORIS V KOVALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 GRACELAWN RD STE 101, AUBURN, ME 04210-6347
(207) 333-4710
(207) 333-4715
Mailing address
325 9TH AVE, BOX 359798, DEPT OF ORTHOPAEDICS & SPORTS MEDICINE, SEATTLE, WA 98104-2420
(206) 744-3466
(206) 744-3227
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85472
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
08/18/2021
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