Individual
IAN S KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
203 WATSON ST, STE 300, PRATT, KS 67124-3066
(620) 672-1002
Mailing address
203 WATSON ST, STE 300, PRATT, KS 67124-3066
(620) 672-1002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0426905
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0555990
BCBS
KS
05
—
100317950B
—
KS
Enumeration date
10/02/2006
Last updated
03/26/2021
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