Individual
DR. JOHN B. KONEFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 100, MOORESVILLE, NC 28117-8540
(704) 235-2580
(704) 333-3397
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14252
SC
2085R0001X
Radiation Oncology Physician
Primary
33538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0473851009
CIGNA
NC
01
—
2086292
UNITED HEALTHCARE
NC
01
—
26041
PARTNERS
NC
01
—
49868
BLUE CROSS
NC
01
—
62133
MEDCOST
NC
05
—
8949868
—
NC
05
—
N33538
—
SC
Enumeration date
03/22/2006
Last updated
11/14/2012
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