KOVANDA PLASTIC SURGERY, PLLC
NPI 1447484159
Surgery - Plastic and Reconstructive Surgery in Edina, MN

Active since May 08, 2009
4999 FRANCE AVE S STE 210, EDINA, MN 55410(612) 335-9032 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kovanda Plastic Surgery, Pllc NPPES

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

KOVANDA PLASTIC SURGERY, PLLC (NPI 1447484159) is a healthcare organization registered as a plastic and reconstructive surgery in Edina, Minnesota and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Maple Grove and lists Christopher John Kovanda, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1447484159
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameKOVANDA PLASTIC SURGERY, PLLC
Location Address4999 FRANCE AVE S STE 210Edina, MN 55410-2168
Mailing Address9325 Upland Ln N, Suite 205Maple Grove, MN 55369-4200 · (763) 416-0676 · Fax (763) 416-0476
Organization SubpartNo
Authorized OfficialChristopher John KovandaSole Member · (763) 416-0676
Enumeration DateMay 8, 2009
Last NPPES UpdateDecember 10, 2019
NPI 1447484159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in MN · 41657
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4999 FRANCE AVE S STE 210, Edina, MN 55410

Secondary Practice Location 1

Location 19325 Upland Ln N, Suite 205Maple Grove, MN 55369-4200 · Phone (763) 416-0676 · Fax (763) 416-0476

Other Identifiers 2

Other1861501082Npi Individual
Medicaid852226000MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Plastic Surgery
4999 FRANCE AVE S STE 210
EDINA, MN 55410

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 Kovanda Plastic Surgery, PLLC's NPI number?

The NPI number for Kovanda Plastic Surgery, PLLC is 1447484159. It was assigned to this organization in the NPPES registry on May 8, 2009.

Where is Kovanda Plastic Surgery, PLLC located?

Kovanda Plastic Surgery, PLLC is located at 4999 France Ave S Ste 210, Edina, MN 55410. The listed phone number is (612) 335-9032.

What is Kovanda Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Kovanda Plastic Surgery, PLLC was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.