Provider Demographics
NPI:1912178880
Name:KOVEL, NICHOLE RENEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:RENEE
Last Name:KOVEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 IVY ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-1361
Mailing Address - Country:US
Mailing Address - Phone:303-949-9864
Mailing Address - Fax:719-634-8531
Practice Address - Street 1:1218 S PUEBLO BLVD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-1593
Practice Address - Country:US
Practice Address - Phone:719-566-1277
Practice Address - Fax:719-566-1257
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO200328231H00000X
COAUD457231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist