Individual
BREANNA KONCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
2405 WADSWORTH BLVD, LAKEWOOD, CO 80214-5713
(303) 237-4967
Mailing address
2405 WADSWORTH BLVD, LAKEWOOD, CO 80214-5713
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
818
CO
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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