Kelli Konkle Romond, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9041 Issued in KY

Practice address

Uk College of Dentistry
800 Rose St
Lexington, KY 40536-0297

Phone

(859) 323-9707

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelli Elizabeth Konkle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1629362546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UK COLLEGE OF DENTISTRY",
            "address_2": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UK COLLEGE OF DENTISTRY",
            "address_2": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMOND",
        "first_name": "KELLI",
        "middle_name": "KONKLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "KONKLE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadia Gabriela Romero
• Amanda Romesberg, D.O.
• Marcus Rommelman
• Edward H Romond, MD
• John Romond, M.D.
• Ronald McDonald House Charities of the Bluegrass, Inc.
• Bryan Keith Rone, M.D.
• Stephanie Roney, DMD
• Ella Grace Ronniger
• Rood and Riddle Veterinary Pharmacy, LLC

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.