Healthcare Provider Details

I. General information

NPI: 1477592244
Provider Name (Legal Business Name): KAREN E KONKEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 YORK RD SUITE102
TOWSON MD
21204-7446
US

IV. Provider business mailing address

7801 YORK RD SUITE102
TOWSON MD
21204-7446
US

V. Phone/Fax

Practice location:
  • Phone: 410-769-4920
  • Fax: 410-296-4205
Mailing address:
  • Phone: 410-769-4920
  • Fax: 410-296-4205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberD50736
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: