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Individual

MS. DIANE LYNN KOCOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
110623
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100253323-00
NE
01
38843
BCBS
NE
Enumeration date
12/26/2006
Last updated
02/14/2013
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