Individual provider · Type 1 NPI

Ketarae Ann Konshuk, LMP

Specialist · Mount Vernon, WA

NPI number 1992912331 Active

Practice location

619 W Hazel St
Mount Vernon, WA 98273-4827

Call (360) 610-1693 Map

Mailing address

619 West Hazel
Mount Vernon, WA 98273

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA-19764 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992912331

Ketarae Ann Konshuk, LMP's National Provider Identifier is 1992912331, issued on May 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, WA. The record was last updated on Jul 8, 2007.