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NPI Code Detail

MEDICARE: SHELLEY KOVACS

MEDICARE: SHELLEY KOVACS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH00002321WA

General Provider Information

NPI Number : 1376908350
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY KOVACS
Provider Business Mailing Address
First Line : 1008 W OSPREY HEIGHTS DR
Second Line :
City : SPOKANE
State : WA
Zip : 99224-7058
Country : US
Telephone Number : 540-845-8626
Fax Number :
Provider Business Practice Location Address
First Line : 1203 W FRANCIS AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6640
Country : US
Telephone Number : 509-328-7575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2015
Last Update Date : 12/18/2015

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Directions to “ SHELLEY KOVACS ” Practice Location

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