Individual
MARIA C KONEN
Active
Individual
MARIA C KONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N28761
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-93064-111
KANSAS LICENSE
KS
05
—
807575400
—
ID
05
—
9650516
—
WA
01
—
A4598
BC ID
ID
01
—
N28761
IDAHO LICENSE
ID
01
—
P00357946
RR MEDICARE
ID
01
—
P00357946
RAILROAD MEDICARE
—
Enumeration date
07/29/2006
Last updated
10/22/2019
Update your record
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