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Individual

JOSEPH C KONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15014 BALLANTYNE COUNTRY CLUB DR, CHARLOTTE, NC 28277-2719
(704) 541-5987
Mailing address
130 SPINNAKER CT, DAVIDSON, NC 28036-7102
(704) 655-2558

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32004
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8950026
NC
Enumeration date
05/21/2007
Last updated
08/31/2011
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