Individual
MR. KENNETH S KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4299 KENT RD., SUITE #1, STOW, OH 44224-4365
(330) 688-1800
(330) 688-1824
Mailing address
4299 KENT RD., SUITE #1, STOW, OH 44224-4365
(330) 688-1800
(330) 688-1824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441043
—
OH
Enumeration date
05/05/2006
Last updated
11/15/2010
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