Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETARAE ANN KONSHUK, LMP
Active Sole ProprietorKETARAE ANN KONSHUK, LMP is a Specialist healthcare provider located in MOUNT VERNON, Washington. NPI 1992912331 is currently active in the NPPES registry. Verify at CMS.
Specialist · MOUNT VERNON, WA
Registration Details
- NPI Number
- 1992912331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.234078343662 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA-19764 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 W HAZEL STMOUNT VERNON, WA, 982734827Browse WA providers · Browse ZIP 98273
- Phone
- 3606101693
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MOUNT VERNON, WA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN J BARTOK | MD | 1487647020 |
| JOHN C. KNUDSEN | M.D. | 1083688790 |
| THEODORE D HEGG | M.D. | 1255373767 |
| MR. HERBERT J GOLDSTON | M.D. | 1326125683 |
| DAVID C. MORRIS | M.D. | 1063589687 |
| MS. JULIE MARIE BELDIN | LMP | 1528135845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.