Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 11809 | NH |
N | 207RC0000X | Internist - Cardiovascular Disease | 11809 | NH |
NPI | 1821104803 |
---|---|
Provider Name | Dr. Alan Ted Kono |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 02/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1009428 | (05) | NH |
30203377 | (05) | NH |
F25492 | (02) |