Individual
KELLI KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 735-2737
(870) 551-3724
Mailing address
2188 US HIGHWAY 64, MARION, AR 72364-9675
(901) 626-2934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R088245
AR
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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