Individual
NATALIA I KOVTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32216
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044251
BCBS PROVIDER NUMBER
—
01
—
32216
LICENSE
KY
05
—
64322167
—
KY
Enumeration date
09/16/2006
Last updated
07/14/2014
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