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Individual

JOHN P KOVALCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-3100
(614) 722-2549
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-3100
(614) 722-2549

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
35060166
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0872604
OH
01
3810006450
WV MEDICAID
OH
01
64128010
KY MEDICAID
OH
01
KO4189281
MEDICARE OHIO
OH
01
KO4189282
MEDICARE
OH
Enumeration date
05/31/2006
Last updated
02/10/2026
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