Individual
MS. KATHRYN MAE KOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 REDSTONE DR, BISMARCK, ND 58503-1463
(701) 222-0753
Mailing address
108 REDSTONE DR, BISMARCK, ND 58503-1463
(701) 222-0753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R25020
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145396
BCBS KS GROUP 110017
KS
05
—
200420090A
—
KS
01
—
P00398986
RR MEDICARE GROUP CQ2302
KS
Enumeration date
07/04/2006
Last updated
03/03/2009
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