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Individual

JOSEPH HENRY KONST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 873-9533

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28420
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430040026
RAILROAD-MEDICARE
NC
05
8050947
NC
Enumeration date
02/05/2007
Last updated
11/12/2014
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