Jordan Kate Konrad
Student in an Organized Health Care Education/Training Program in Syracuse, NY. Individual provider (NPI-1).
NPI number1013852425
StatusActive
Last updated in NPPESApr 22, 2026
Details
- NPI
- 1013852425
- Entity type
- Individual (NPI-1)
- Name
- Jordan Kate Konrad
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2026
- Certification date
- Apr 21, 2026
- Last updated
- Apr 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
750 E Adams StSyracuse, NY 13210-2306
Phone 315-464-4259
Mailing address
750 E Adams StSyracuse, NY 13210-2306
Phone 315-464-4259
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