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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ISABELLE KOVALTCHOUK
NPI 1104748417
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since July 28, 2026
625 SHADOW LN, LAS VEGAS, NV 89106(702) 895-3011 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isabelle Kovaltchouk NPPES

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

ISABELLE KOVALTCHOUK (NPI 1104748417) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104748417
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISABELLE KOVALTCHOUK
Location Address625 SHADOW LNLas Vegas, NV 89106-4118
Mailing Address625 Shadow LnLas Vegas, NV 89106-4118 · (702) 895-3011
Phone(702) 895-3011
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1104748417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
625 SHADOW LN, Las Vegas, NV 89106
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN WANG
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
TOMOMI MORI
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
CHESKA MOLINA
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
RIA MISHRA
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
AUTUMN HAIKAL
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
ANNAMARIE OSHIOKPEKHAI
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
MICHELLE YUEN-LING LUH
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011
CHAYSE BAKER
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 895-3011

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 Isabelle Kovaltchouk's NPI number?

The NPI number for Isabelle Kovaltchouk is 1104748417. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Isabelle Kovaltchouk located?

Isabelle Kovaltchouk practices at 625 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 895-3011.

What is Isabelle Kovaltchouk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Isabelle Kovaltchouk was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.