KATHLEEN KONETZKO NP NPI 1588741938

NPI Information

NPI: 1588741938
Provider Name: KATHLEEN KONETZKO, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2305 MINNESOTA BLVD
MINN CORRECTIONAL FACILITY
SAINT CLOUD, MN
ZIP 56304
Phone: (320) 240-3088
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Kathleen Konetzko, NP is a family nurse practitioner in Saint Cloud, MN. Kathleen Konetzko, NP NPI is 1588741938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2305 MINNESOTA BLVD
MINN CORRECTIONAL FACILITY
SAINT CLOUD, MN
ZIP 56304-424
Phone: (320) 240-3088
Fax: (320) 240-7087

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R 070073-7	MINNESOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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