Provider Demographics
NPI:1831678093
Name:COVINGTON, RHONDA R
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:R
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CHALK BUTTES RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:WY
Mailing Address - Zip Code:82633-9263
Mailing Address - Country:US
Mailing Address - Phone:307-359-2201
Mailing Address - Fax:
Practice Address - Street 1:320 CHALK BUTTES RD
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-9263
Practice Address - Country:US
Practice Address - Phone:307-359-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator