NPI 1033661459
Breanna Koncak, AUDCCCA
Practice location
- Address
- 2405 Wadsworth Blvd, Lakewood, CO 80214-5713
- Phone
- (303) 237-4967
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1033661459
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Nov 2016
- Record last updated
- 2 Nov 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.