Individual
DR. KEITH KONKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6800
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6800
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
37675
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32219500
—
WI
Enumeration date
11/27/2006
Last updated
01/18/2011
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