Provider Demographics
NPI:1730382888
Name:BUSBY, KATHERINE KOVALSKI (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:KOVALSKI
Last Name:BUSBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:KOVALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10701 EAST BLVD
Mailing Address - Street 2:MENTAL HEALTH AMBULATORY CARE CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1702
Mailing Address - Country:US
Mailing Address - Phone:216-791-3800
Mailing Address - Fax:216-707-6465
Practice Address - Street 1:10701 EAST BLVD
Practice Address - Street 2:MENTAL HEALTH AMBULATORY CARE CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1702
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:216-707-6465
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.0117322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry