IndividualActive
Jeffrey Kovnick, M.D.
NPI 1770701609 · Child & Adolescent Psychiatry Physician · Ketchum, ID
Provider details
- NPI number
- 1770701609
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 184995-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Po Box 6106
Ketchum, ID 83340-6106
Phone: (801) 910-5822
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6106
Ketchum, ID 83340-6106
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.