Provider Demographics
NPI:1588314033
Name:KONNE, TENEME (MD)
Entity type:Individual
Prefix:
First Name:TENEME
Middle Name:
Last Name:KONNE
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 1:1544 30TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-2927
Mailing Address - Country:US
Mailing Address - Phone:515-577-2878
Mailing Address - Fax:
Practice Address - Street 1:510 RECOVERY RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4874
Practice Address - Country:US
Practice Address - Phone:615-781-4000
Practice Address - Fax:615-342-3968
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty