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Individual

KONRAD KIJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4130 DUTCHMANS LN STE 200, LOUISVILLE, KY 40207-4709
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4710
(502) 897-1794
(502) 897-3852

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
40634
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300028796
IN
05
64130453
KY
Enumeration date
02/14/2007
Last updated
12/12/2022
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