Individual
KATY KONKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3676 PARKER BLVD, STE 280, PUEBLO, CO 81008-2214
(719) 595-8505
(719) 595-8509
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
316047
NY
208800000X
Urology Physician
Primary
DR.0059044
CO
Other
Enumeration date
07/05/2011
Last updated
07/07/2022
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