Provider Demographics
NPI:1821505421
Name:KONEN, ALLISON (MSN, APRN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:KONEN
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 TISHOFF DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3818
Mailing Address - Country:US
Mailing Address - Phone:859-496-2545
Mailing Address - Fax:
Practice Address - Street 1:2220 GRANDVIEW DR STE 170
Practice Address - Street 2:
Practice Address - City:FORT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-1661
Practice Address - Country:US
Practice Address - Phone:859-360-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily