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General NPI Number Information
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NPI Number | 1750290177
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Entity Type | Individual
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Provider Name | RYAN DUANE KOVACICH DC
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Gender | Male
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 520 INDUSTRIAL DR STE 110
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City | CARMEL
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State | IN
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Zip | 46032-4291
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Country | US
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Telephone | 317-688-1716
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Fax |
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Provider Business Mailing Address
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Address Line | 18203 JOHN DIPPEL BLVD APT 201
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City | WESTFIELD
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State | IN
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Zip | 46074-0919
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Country | US
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Telephone | 616-450-6331
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003624A
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License Number State | IN
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