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Individual

DR. DAWN A HULTHEN-KONCSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 703-1080
Mailing address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 703-1080

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7348
NC
237600000X
Audiologist-Hearing Aid Fitter
1242
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147FJ
BCBSNC
NC
01
197917
MEDCOST
NC
01
30108535
SELECT HEALTH OF SC
SC
01
6374544
CIGNA
01
7061923
AENTA
05
7412976
NC
01
879959
WELLCARE OF SC
SC
01
P01720694
RAILROAD MEDICARE
NC
05
SAN090
SC
Enumeration date
09/21/2006
Last updated
01/31/2023
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