Individual
JESSICA LYNN KONAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2854 S 11TH ST, KALAMAZOO, MI 49009-2129
(269) 345-6197
Mailing address
2854 S 11TH ST, KALAMAZOO, MI 49009-2129
(269) 345-6197
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301507577
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351042695
MI
Other
Enumeration date
05/21/2018
Last updated
08/19/2022
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