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Kathyrn Amanda Konow

Physician Assistant in Willimantic, CT. Individual provider (NPI-1).

NPI number1558095885
StatusActive
Last updated in NPPESAug 15, 2023

Details

NPI
1558095885
Entity type
Individual (NPI-1)
Name
Kathyrn Amanda Konow
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2022
Certification date
Aug 15, 2023
Last updated
Aug 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant6204CTYes

Practice location

5 Founders St Ste 100
Willimantic, CT 06226-2049

Phone 864-239-7640

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

588 Longmeadow St
Longmeadow, MA 01106-2212

Phone 413-565-1326

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