MEDICARE: MRS. BARBARA KOVALCHIK ARNP RN

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
1	363LW0102X	Women's Health Nurse Practitioner	3048P	KY
2	163W00000X	Registered Nurse	1052071	KY

General Provider Information

NPI Number	:	1255309886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA KOVALCHIK ARNP RN

Provider Business Mailing Address
First Line	:	3016 W WACKERLY ST
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-6960
Country	:	US
Telephone Number	:	989-631-6730
Fax Number	:	989-631-4398

Provider Business Practice Location Address
First Line	:	3016 W WACKERLY ST
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-6960
Country	:	US
Telephone Number	:	989-631-6730
Fax Number	:	989-631-4398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/09/2026

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