Bryan Covington
Technician, Other in Kennett, MO. Individual provider (NPI-1).
NPI number1497272082
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1497272082
- Entity type
- Individual (NPI-1)
- Name
- Bryan Covington
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1109 Jones StKennett, MO 63857-3824
Phone 573-888-6545
Mailing address
1109 Jones StKennett, MO 63857-3824
Phone 573-888-6545
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