Individual
TAYLOR A KONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Mailing address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A97741
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A97741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A977410
—
CA
Enumeration date
02/05/2007
Last updated
10/26/2020
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