Provider Demographics
NPI:1225820780
Name:KOVALENKO, VALERIY VLADIMIROVICH
Entity type:Individual
Prefix:
First Name:VALERIY
Middle Name:VLADIMIROVICH
Last Name:KOVALENKO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9653 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1660
Mailing Address - Country:US
Mailing Address - Phone:531-289-9149
Mailing Address - Fax:
Practice Address - Street 1:5000 W SPARROW LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-2119
Practice Address - Country:US
Practice Address - Phone:402-730-8381
Practice Address - Fax:402-260-7401
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care