Individual
MARY KONNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
625 POLE LINE RD W, TWIN FALLS, ID 83301-4268
(208) 814-7350
Mailing address
1835 HARRISON ST N UNIT 17104, TWIN FALLS, ID 83301-4295
(217) 899-8163
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
07/27/2019
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