DR. JEFFREY ARNOLD KOVNICK M.D. NPI 1770701609

NPI Information

  • NPI: 1770701609
  • Provider Name: DR. JEFFREY ARNOLD KOVNICK, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: PO BOX 6106
    KETCHUM, ID
    ZIP 83340
  • Phone: (801) 910-5822

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NPI Details

DR. Jeffrey Arnold Kovnick, M.D. is a child and adolescent psychiatry psychiatry neurology in Ketchum, ID. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Jeffrey Arnold Kovnick, M.D. NPI is 1770701609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PO BOX 6106
KETCHUM, ID
ZIP 83340-106
Phone: (801) 910-5822

The NPI 1770701609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry184995-1205UTAHNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryM-17191IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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