MEDICARE: MARK W. KOVER

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	101YM0800X	Mental Health Counselor	000757	MO

General Provider Information

NPI Number	:	1912876426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK W. KOVER

Provider Business Mailing Address
First Line	:	7730 N EVERTON AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-4683
Country	:	US
Telephone Number	:	816-226-7763
Fax Number	:

Provider Business Practice Location Address
First Line	:	7715 N OAK TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-1712
Country	:	US
Telephone Number	:	816-226-7763
Fax Number	:

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

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	11/03/2025

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