Individual
KRISTINE KURTY KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Mailing address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 657-5657
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-25193
TX
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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