Individual
DR. KYLIN KOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3830 WOODKING DR, IDAHO FALLS, ID 83404-4736
(208) 529-8393
(208) 529-8398
Mailing address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
(208) 529-8398
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
P221
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002356
MI
Other
Enumeration date
07/28/2010
Last updated
01/24/2025
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