Individual
ANDREA KONKOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203
(330) 615-3217
Mailing address
316 N ROSSMORE AVE APT 402, LOS ANGELES, CA 90004-2414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.132585
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
02/11/2022
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