Pony Express Pediatrics, LLC
NPI #1265087993 in Cheyenne, Wyoming
Provider Information
- NPI Number
- 1265087993
- Entity Type
- Organization
- Organization Name
- Pony Express Pediatrics, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PONY EXPRESS PEDIATRICS, LLC
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Aug 8, 2019
- Last Updated
- Aug 8, 2019
Practice Location
Authorized Official
- Name
- CHRISTA JAYLEEN KOVACHEVICH, APRN
- Title
- OWNER/APRN CPNP-PC
- Phone
- (321) 313-3595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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