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Individual

JAMES P KONERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011
(859) 912-7211
(859) 655-8981
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 912-7211
(859) 655-8981

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41236
KY
208M00000X
Hospitalist Physician
Primary
35.052189
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000536346
ANTHEM
05
0659256
OH
01
158866978
MEDICAL MUTUAL
05
2565399
OH
01
4065714
AETNA
01
P00419304
RAILROAD MEDICARE
Enumeration date
08/15/2005
Last updated
04/13/2021
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