Individual
MISS KATHRYN M KOVANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-4102
Mailing address
51ST MEDICAL GROUP, UNIT 2060, APO, AP 96278-2060
(505) 784-2056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-2417
MT
Other
Enumeration date
06/17/2009
Last updated
09/09/2024
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