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Individual

ELLEN KOVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2695
(202) 537-4080
(202) 537-4588
Mailing address
PO BOX 65266, CHARLOTTE, NC 28265-0266
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA30141
DC

Other

Enumeration date
12/19/2005
Last updated
10/18/2007
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