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DR. ROBERT LEWIS KONOLD M.D. NPI 1477715241


NPI Information

NPI: 1477715241
Provider Name: DR. ROBERT LEWIS KONOLD, M.D.
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5955 ZEAMER AVE
JBER, AK
ZIP 99506
Phone: (907) 580-8304
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DR. Robert Lewis Konold, M.D. is a military health care provider in Jber, AK. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Robert Lewis Konold, M.D. NPI is 1477715241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5955 ZEAMER AVE
JBER, AK
ZIP 99506-702
Phone: (907) 580-8304
Fax: (907) 580-6444

The NPI 1477715241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 3/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program125055127ILLINOISNo
2171000000XMilitary Health Care Provider01068565AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.