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Individual
DR. THOMAS JOHN KONDNER
Active
Individual
DR. THOMAS JOHN KONDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.,
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-004797-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124143664
TYPE 2 NPI # FOR BUSINESS
PA
01
—
1306841184
TYPE 1 NPI # INDIVIDUAL
PA
Enumeration date
06/17/2005
Last updated
12/24/2016
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