Individual
DON A KOVALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Mailing address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036105282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105282
—
IL
Enumeration date
03/03/2006
Last updated
12/23/2009
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