Individual
KRISTOPHER JOHN KONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HI/BI
Contact information
Practice address
1213 16TH ST, LEWISTON, ID 83501-3057
(208) 305-6542
Mailing address
3321 7TH ST, LEWISTON, ID 83501-4941
(208) 305-6542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
ID
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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