Individual
KATRINA KOVARIK-STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1741 S 15TH ST, OZARK, MO 65721-9030
(417) 730-5550
(417) 730-5555
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
079152
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109211
BLUE CROSS OF MO
—
05
—
428521009
—
MO
Enumeration date
09/26/2006
Last updated
07/21/2022
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