Individual
MELISSA KAYE KOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28213984A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000913189
ANTHEM PROVIDER NUMBER
IN
05
—
201269490
—
IN
Enumeration date
02/28/2014
Last updated
01/12/2016
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