Individual
MRS. RHONDA J KONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, C-NP
Contact information
Practice address
1235 E ALEX BELL RD, CENTERVILLE, OH 45459
(937) 435-6400
(937) 435-4793
Mailing address
1235 E ALEX BELL RD, CENTERVILLE, OH 45459
(937) 435-6400
(937) 435-4793
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
RN 234035
OH
363L00000X
Nurse Practitioner
Primary
11986NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11986NP
NP LICENSE
OH
05
—
3011761
—
OH
Enumeration date
11/03/2010
Last updated
03/15/2011
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