Provider Demographics
NPI:1568566594
Name:KOVAL, BARBARA KAY (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KAY
Last Name:KOVAL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 SPRING ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-3664
Mailing Address - Country:US
Mailing Address - Phone:404-808-4606
Mailing Address - Fax:
Practice Address - Street 1:1616 SPRING ST SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-3664
Practice Address - Country:US
Practice Address - Phone:404-808-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN144368363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics