Individual
JILLIAN KOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
575 COAL VALLEY RD STE 400, JEFFERSON HILLS, PA 15025-3726
(412) 267-6500
Mailing address
575 COAL VALLEY RD STE 400, JEFFERSON HILLS, PA 15025-3726
(412) 267-6500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061287
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061287
LICENSE NUMBER
PA
Enumeration date
11/15/2019
Last updated
10/20/2020
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