Provider Demographics
NPI:1316138829
Name:COVONE, KENNETH C (DO)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:C
Last Name:COVONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 HURFFVILLE CROSSKEYS RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2337
Mailing Address - Country:US
Mailing Address - Phone:856-218-2312
Mailing Address - Fax:856-218-2873
Practice Address - Street 1:445 HURFFVILLE CROSSKEYS RD BLDG A
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2337
Practice Address - Country:US
Practice Address - Phone:856-218-2312
Practice Address - Fax:856-218-5726
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08280700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology