NPI 1376100966
Mary Konneker, AUD
Practice location
- Address
- 625 Pole Line Rd W, Twin Falls, ID 83301-4268
- Phone
- (208) 814-7350
- Mailing address
- 1835 Harrison St N Unit 17104, Twin Falls, ID 83301-4295
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1376100966
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 May 2019
- Record last updated
- 27 Jul 2019
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.