KELLY CLAIRE KOVACIK MD
NPI 1700536802
Student in an Organized Health Care Education/Training Program in Wynnewood, PA
About Kelly Claire Kovacik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CLAIRE KOVACIK MD (NPI 1700536802) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Claire Kovacik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Kelly Kovacik's NPI number?
The NPI number for Kelly Kovacik is 1700536802. It was assigned to this individual provider in the NPPES registry on March 24, 2022. The provider is also known as Kelly Claire Szymanski MD.
Where is Kelly Kovacik located?
Kelly Kovacik practices at 100 E. Lancaster Avenue Annenberg G-10, Wynnewood, PA 19096. The listed phone number is (570) 702-4387.
What is Kelly Kovacik's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelly Kovacik enrolled in Medicare?
Yes. Kelly Kovacik is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Kovacik was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Kelly Claire Kovacik, MD · NPI 1700536802
Student in an Organized Health Care Education/Training Program provider in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1700536802 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 E. LANCASTER AVENUE, ANNENBERG G-10, Wynnewood, PA 19096
- **Phone:** (570) 702-4387
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700536802) · Data from the CMS NPPES public registry.