person
Mrs. Leanne M Kovick, CFM
Mastectomy Fitter in Caldwell, Idaho
NPI 1962804120

Leanne M Kovick is a Mastectomy Fitter based in Caldwell, ID. Leanne M Kovick practices in Caldwell, ID and has the professional credentials of CFM. The NPI Number for Leanne M Kovick is 1962804120 and holds a License No. CFM02746 (Idaho).

The current practice location address for Leanne M Kovick is 2006 Blaine St, Caldwell, ID and can be reached out via phone at 208-985-5404 and via fax at 208-402-5959. You can also correspond with Leanne M Kovick through the mailing address at 2006 BLAINE ST, CALDWELL, ID - 83605-4343 (mailing address contact number: 208-985-5404).

Location: 2006 Blaine St, Caldwell, ID, 83605-4343
person
Provider Profile Details
NPI Number
1962804120
Provider Name
Leanne M Kovick
Credential
CFM
Provider Entity Type
Individual
Gender
Female
Address
2006 Blaine St, Caldwell, ID, 83605-4343
Phone Number
208-985-5404
Fax Number
208-402-5959
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962804120 05 ID
institution
Provider Business Practice Location Address Details
Address
2006 Blaine St
City
State
Zip
83605-4343
Phone Number
208-985-5404
Fax Number
208-402-5959
person
Provider Business Mailing Address Details
Address
2006 Blaine St
City
State
Zip
83605-4343
Phone Number
208-985-5404
Fax Number
208-402-5959
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
License No.
CFM02746 (Idaho)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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