Provider Demographics
NPI:1942403902
Name:KONO, BRYAN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:PATRICK
Last Name:KONO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 18TH ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211
Mailing Address - Country:US
Mailing Address - Phone:720-583-4470
Mailing Address - Fax:888-463-5887
Practice Address - Street 1:2650 18TH ST
Practice Address - Street 2:STE. 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211
Practice Address - Country:US
Practice Address - Phone:720-583-4470
Practice Address - Fax:888-463-5887
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92091208000000X
CO45399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics