Individual
CHRISTIAN D KONSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
299A GLASGOW RD, BURKESVILLE, KY 42717-9696
(270) 864-2555
(270) 864-3777
Mailing address
896 POTTERS CREEK RD, BURKESVILLE, KY 42717-7638
(270) 433-6475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY37254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176477
BLUE CROSS
KY
05
—
64058860
—
KY
Enumeration date
06/24/2006
Last updated
01/13/2011
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