MISS GRACE GLORIA KOVALIK LPN
NPI 1104125376
Licensed Practical Nurse in Dexter, NY

Active since March 27, 2011
25532 ROAD 152, DEXTER, NY 13634(315) 639-3640 Get Directions Write a Review

NPPES record last updated: March 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Grace Gloria Kovalik Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS GRACE GLORIA KOVALIK LPN (NPI 1104125376) is an individual licensed practical nurse in Dexter, New York, licensed in New York (293028-1) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1104125376
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS GRACE GLORIA KOVALIKCredential: LPN
Location Address25532 ROAD 152Dexter, NY 13634-2162
Mailing Address25532 Road 152Dexter, NY 13634-2162 · (315) 639-3640
Sole ProprietorYes
Enumeration DateMarch 27, 2011
NPI 1104125376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 293028-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
25532 ROAD 152, Dexter, NY 13634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Kovalik's NPI number?

The NPI number for Grace Kovalik is 1104125376. It was assigned to this individual provider in the NPPES registry on March 27, 2011.

Where is Grace Kovalik located?

Grace Kovalik practices at 25532 Road 152, Dexter, NY 13634. The listed phone number is (315) 639-3640.

What is Grace Kovalik's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Grace Kovalik was last updated on March 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.