Individual
DR. OLIVE SEIN KONANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-4300
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 387-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10219168-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
01066198
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200946860
—
IN
05
—
3073150
—
OH
Enumeration date
11/29/2007
Last updated
06/29/2018
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