NPI 1417261744

Kylin Kovac, DPM

Practitioner Foot & Ankle Surgery Podiatrist Idaho Falls, ID

Practice location

Address: 3830 Woodking Dr, Idaho Falls, ID 83404-4736
Phone: (208) 529-8393
Fax: (208) 529-8398
Mailing address: 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 5901002356 (MI)

Other Podiatrist providers in Idaho →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence P221 (ID)

Registry record

NPI: 1417261744
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2010
Record last updated: 24 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.