Individual provider Active NPI

Kathleen Rose Radick Kovka, MS CCC/SLP

  • Speech-Language Pathologist
  • McMurray, PA
National Provider Identifier
1952553307
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL003276L Issued in PA
Practice address
113 W McMurray Rd
MC Murray, PA 15317-2427
Phone
(724) 941-3080
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL003276L PA Primary

Addresses

Primary practice location

113 W McMurray Rd
MC Murray, PA 15317-2427

Mailing address

3082 Amy Dr
South Park, PA 15129-9374
Phone (724) 348-4893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL003276LPAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1952553307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 AMY DR",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151299374",
            "telephone_number": "724-348-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172427",
            "telephone_number": "724-941-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICK KOVKA",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003276L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.