Individual
BARBARA A KOVARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FA
Contact information
Practice address
14825 N OUTER 40 RD, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Mailing address
14825 N OUTER 40 RD, SUITE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
072806
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072806
STATE LICENSE
MO
Enumeration date
12/15/2010
Last updated
12/15/2010
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