Fred D Kovalchick in Tunkhannock - Physician Assistant

Fred D Kovalchick - NPI 1134189905

Fred D Kovalchick is a Physician Assistant in Tunkhannock, Pennsylvania. Fred D Kovalchick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Fred D Kovalchick is 1134189905. The last update date is 2022-05-10.

Fred D Kovalchick's current location address is 10 Trieble Dr, Tunkhannock, Pennsylvania. You can contact this provider via phone number 5709962700 and fax number 5709962711. The mailing address for Fred D Kovalchick is 10 Trieble Dr, Tunkhannock, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred D Kovalchick
Address 10 Trieble Dr, Tunkhannock, Pennsylvania
Phone Number 5709962700
Fax Number 5709962711
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1134189905
Provider Enumeration Date 2006-03-25
Last Updated Date 2022-05-10

Provider Mailing Address Detail

Address 10 Trieble Dr
City Tunkhannock
State Pennsylvania (PA)
Post Code 186577054
Phone Number 5709962700
Fax Number 5709962711

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA002483L
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Fred D Kovalchick

What is the unique 10-digit identification code issued to Fred D Kovalchick by the Centers for Medicare & Medicaid Services?

The Fred D Kovalchick has been assigned the NPI (National Provider Identifier) 1134189905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Fred D Kovalchick is physically located?

The Fred D Kovalchick is situated at the following address: 10 Trieble Dr, Tunkhannock, PA 186577054.

What is the Fred D Kovalchick's area of specialization and corresponding taxonomy classification?

The Fred D Kovalchick's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134189905 to Fred D Kovalchick?

The Centers for Medicare & Medicaid Services originally issued the 1134189905 to Fred D Kovalchick on 2006-03-25.

As of what date was the information pertaining to Fred D Kovalchick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Fred D Kovalchick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-05-10.

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