NPI 1336456409

Jennifer Ann Konkol, CPMCLCBSW

Practitioner Midwife Saint Louis, MO

Practice location

Address: 3271 Roger Pl, Saint Louis, MO 63116-3838
Phone: (618) 610-4777
Fax: (618) 462-0603
Mailing address: 3006 Alby St, Alton, IL 62002-4401

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Missouri →

Registry record

NPI: 1336456409
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2010
Record last updated: 9 Sep 2010

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.