Doctor Name: | RON KONECKE |
NPI Number: | 1558397471 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD029092E |
Business Practice Address: | 190 Welles St Forty Fort, PA - 187044968 |
Business Phone Number: | 5702880400 |
Business Fax Number: | 5702881677 |
Mailing Address: | 610 Wyoming Ave, KINGSTON |
State: | PA |
Postal Code: | 187043702 |
Phone Number: | 5702885441 |
Fax Number: | 5702885842 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD029092E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |