Most Relevant Information
Provider Data
| NPI Number: | 1003354085 |
| Provider Name: | ANDREW KONING |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1640930 |
Most Important Dates
| Enumeration Date: | 02/09/2017 |
| Last Updated: | 02/09/2017 |
Provider Practice Location
0037 PEAK ONE DRIVE
FRISCO
CO
80443
Practice Location Phone/Fax
| Phone: | 9706684026 |
| Fax: |
Provider Mailing Location
400 N PARK AVE UNIT 10B
PMB#492
BRECKENRIDGE
CO
804248710
Provider Mailing Phone/Fax
| Phone: | 5083301619 |
| Fax: |