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Individual

DR. JEFFREY ARNOLD KOVNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PO BOX 6106, KETCHUM, ID 83340-6106
(801) 910-5822
Mailing address
PO BOX 6106, KETCHUM, ID 83340-6106
(801) 910-5822

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
184995-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M-17191
ID

Other

Enumeration date
04/24/2007
Last updated
03/19/2025
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