Kovanda Plastic Surgery, PLLC

Plastic and Reconstructive Surgery Physician · Edina, MN

Organization Active NPI

NPI number 1447484159

Practice location

4999 France Ave S Ste 210
Edina, MN 55410-2168
Phone
(612) 335-9032

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NPI record

NPI
1447484159
Entity type
Organization (Type 2)
Enumeration date
May 8, 2009
Last updated
December 10, 2019
Certified
December 10, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic and Reconstructive Surgery Physician Primary 2086S0122X 41657 MN

Mailing address

9325 Upland Ln N
Suite 205
Maple Grove, MN 55369-4200
Phone
(763) 416-0676
Fax
(763) 416-0476

Authorized official

Name
Christopher John Kovanda, M.D.
Title
Sole Member
Phone
(763) 416-0676

Other practice locations (1)

  • 9325 Upland Ln N, Suite 205, Maple Grove, MN 55369-4200 · (763) 416-0676

About Kovanda Plastic Surgery, PLLC

Kovanda Plastic Surgery, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 4999 France Ave S Ste 210, Edina, MN 55410-2168. The NPI number 1447484159 was assigned on May 8, 2009 and the record was last updated on December 10, 2019.

Kovanda Plastic Surgery, PLLC lists a license in the registry: #41657 (MN) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Christopher John Kovanda, M.D., Sole Member.

Frequently asked questions

What is the NPI number of Kovanda Plastic Surgery, PLLC?

The NPI number is 1447484159.

What is the phone number of Kovanda Plastic Surgery, PLLC?

The phone number listed for the practice location is (612) 335-9032.

Where is Kovanda Plastic Surgery, PLLC located?

4999 France Ave S Ste 210, Edina, MN 55410-2168.

What is the taxonomy code for Kovanda Plastic Surgery, PLLC?

The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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