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Individual

KELLY KOVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
421 RAILROAD ST, TABER BUILDING, SUITE 206, ELKO, NV 89801-3764
(775) 753-7626
Mailing address
421 RAILROAD ST, TABER BUILDING, SUITE 206, ELKO, NV 89801-3764
(330) 221-0392

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P14518
NC
225100000X
Physical Therapist
Primary
PT.014428
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P14518
NORTH CAROLINA BOARD OF PHYSICAL THERAPY
NC
01
PT.014428
OHIO STATE BOARD OF PHYSICAL THERAPY
OH
Enumeration date
10/17/2013
Last updated
10/17/2013
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