| Doctor Name: | KATHLEEN KONDO |
| NPI Number: | 1023046596 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | F3334941 |
| Business Practice Address: | 3044 Route 50 Saratoga Springs, NY - 128662906 |
| Business Phone Number: | 5188865800 |
| Business Fax Number: | 5188865805 |
| Mailing Address: | Po Box 10121, ALBANY |
| State: | NY |
| Postal Code: | 122015121 |
| Phone Number: | 5188865800 |
| Fax Number: | 5188865805 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 11/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F3334941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |