National Provider Identifier
Jennifer L Kovalick, MS, RDN, CDN
Jennifer L Kovalick, MS, RDN, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Williamsville, NY and a listed phone number of (716) 912-9103.
Profile Overview
- NPI
- 1912276411
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- December 29, 2011
- Last Updated
- August 17, 2022
Practice Location
- 2801 Wehrle Dr Ste 4
- Williamsville, NY 14221-7381
Phone: (716) 912-9103
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1912276411
- Entity Type
- Individual
- Last Name
- Kovalick
- First Name
- Jennifer
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- MS, RDN, CDN
- Mailing Street Address
- 2801 Wehrle Dr Ste 4
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7381
- Mailing Country
- US
- Mailing Phone
- (716) 912-9103
- Mailing Fax
- (716) 276-3909
- Practice Street Address
- 2801 Wehrle Dr Ste 4
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7381
- Practice Country
- US
- Practice Phone
- (716) 912-9103
- Practice Fax
- (716) 276-3909
- Enumeration Date
- December 29, 2011
- Last Updated
- August 17, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 17, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 48 006121 (NY, Cdn), 927796 (NY, Registered Dietitian Number)