Individual
CARLY KONECNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
811 MILWAUKEE AVE, WAUKESHA, WI 53188-3045
(262) 894-6606
Mailing address
811 MILWAUKEE AVE, WAUKESHA, WI 53188-3045
(262) 894-6606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228747-30
WI
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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