Individual
DR. SARA LYNN KOVACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 N 16TH ST STE 250, NEW CASTLE, IN 47362-4319
(765) 599-3555
(765) 599-3286
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7906
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02004545A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004545A
STATE LICENSE
IN
01
—
02004545B
CSR
IN
05
—
201280210
—
IN
05
—
7100392520
—
KY
Enumeration date
10/27/2014
Last updated
03/07/2023
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