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Individual

KELLEN KOVALOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
420 W. LINFIELD TRAPPE ROAD, PHOENIXVILLE, PA 19460
(610) 495-2300
Mailing address
P. O. BOX 525, PHOENIXVILLE, PA 19460
(610) 933-8000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD053829L
PA

Other

Enumeration date
10/04/2006
Last updated
01/15/2015
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