Individual
SETH KONKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 CHERRY ST NE APT 42, CLEVELAND, TN 37311-4566
(757) 709-8888
Mailing address
1950 CHERRY ST NE APT 42, CLEVELAND, TN 37311-4566
(757) 709-8888
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T63549872
DMV
VA
Enumeration date
02/15/2023
Last updated
02/15/2023
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