Individual
DR. PAUL JAY KOVNAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 982-4276
(505) 983-7571
Mailing address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 982-4276
(505) 983-7571
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
74-50
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15396
—
NM
Enumeration date
08/12/2006
Last updated
05/15/2008
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