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NPI Code Detail

MEDICARE: MAJOK M. KON

MEDICARE: MAJOK M. KON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1063786911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAJOK M. KON
Provider Business Mailing Address
First Line : 1058 W 27TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2424
Country : US
Telephone Number : 907-274-7391
Fax Number :
Provider Business Practice Location Address
First Line : 1058 W 27TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2424
Country : US
Telephone Number : 907-274-7391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “ MAJOK M. KON ” Practice Location

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