{"npi":"1700536802","type":"NPI-1","status":"active","name":{"display":"Kelly Kovacik MD","other":[{"code":"1","type":"Formerly known as","value":"SZYMANSKI, KELLY CLAIRE"}],"first":"KELLY","last":"KOVACIK","middle":"CLAIRE","credential":"MD"},"specialty":{"primary_taxonomy":"390200000X","primary_taxonomy_description":"Student in an Organized Health Care Education/Training Program","slug":"student-in-an-organized-health-care-education-training-program","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 E. LANCASTER AVENUE","city":"WYNNEWOOD","state":"PA","postal_code":"19096","country_code":"US","street_2":"ANNENBERG G-10","phone":"5707024387"},{"purpose":"MAILING","street_1":"100 E LANCASTER AVE","city":"WYNNEWOOD","state":"PA","postal_code":"190963450","country_code":"US","phone":"4844762000"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220707003456","type_code":"33-83","type_desc":"ORDER AND REFERRING ONLY - HEMATOLOGY/ONCOLOGY","state":"PA","pac_id":"8628458684"}]},"enumeration_date":"2022-03-24","last_updated":"2025-06-10","_meta":{"source":"NPPES","snapshot_date":"2025-06-10","doc_url":"https://findmynpi.com/api"}}