Individual
KEVIN JOHN KOVATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2804
(860) 679-1179
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2804
(860) 679-1179
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
080595
CT
207Y00000X
Otolaryngology Physician
61020
TN
207Y00000X
Otolaryngology Physician
MD474008
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301105770
MI
Other
Enumeration date
06/05/2014
Last updated
06/17/2025
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