Tracy Lynn Konoske, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Laurel, MT
NPI 1972626596 · NPPES record last updated May 10, 2011
Key facts
- NPI
- 1972626596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 410 (MT)
- Practice address
- 71 Bus LN
Laurel, MT 59044-9214 - Phone
- (406) 534-9405
- Fax
- (406) 333-7190
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 410 | MT | MD | Medical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 410 | MT | Yes |
Addresses
Primary practice location
71 Bus LN
Laurel, MT 59044-9214
Mailing address
71 Bus LN
Laurel, MT 59044-9214
Phone (406) 534-9405
Other providers in Laurel, MT
- Jody L. Crowl, D.D.S.
- John H Barsness
- Kendra Jewel Joyce
- Meagan L Kimmel
- Courtney King
- Kelly Rae Kukes
- Laurel Hearing Aid LLC
- Laurel School District
- Laurel SNF Operations, LLC
- Laura Lynn Lekang
All providers in Laurel, MT · Registered Dietitian in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.