SearchIdaho103K00000X

Kristopher Konen, HI/BI

NPI 1639698582 · on the registry since 2017 · sole proprietor

Practice

Address
1213 16th St
Lewiston, ID 83501
Phone
(208) 305-6542

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho