NPI 1396124996

Ryan David Konik, MD

Practitioner Plastic Surgery Physician Glen Dale, WV

Practice location

Address: 800 Wheeling Ave, Glen Dale, WV 26038-1697
Phone: (304) 845-3211
Mailing address: 500 Gypsy Lane, Youngstown, OH 44501

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 34120 (WV)

Other Plastic Surgery providers in West Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1396124996
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2015
Record last updated: 25 Jul 2024

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.