Active NPIIndividual providerSole proprietor

Kathyrn A Konow

Physician Assistant in Willimantic, Connecticut

NPI Number1558095885
Practice location
5 Founders St Ste 100, Willimantic, CT 06226-2049
Fax
—
Last updated
August 15, 2023

Kathyrn Amanda Konow is a Physician Assistant based in Willimantic, CT. Kathyrn Amanda Konow practices in Willimantic, CT. The NPI Number for Kathyrn Amanda Konow is 1558095885 and holds a License No. 6204 (CT). The current practice location address for Kathyrn Amanda Konow is 5 Founders St Ste 100, Willimantic, CT 06226-2049 and can be reached out via phone at 864-239-7640.

Provider Profile Details

NPI Number
1558095885
Provider Name
Kathyrn Amanda Konow
Provider Entity Type
Individual
Gender
Female
Address
5 Founders St Ste 100, Willimantic, CT 06226-2049
Phone Number
864-239-7640
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2022
Last Update Date
August 15, 2023
Certification Date
August 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Founders St Ste 100
Willimantic, CT 06226-2049
Zip
06226-2049
Phone Number
864-239-7640
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number
6204
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathyrn A Konow?

The NPI number of Kathyrn A Konow is 1558095885. It was assigned on July 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Kathyrn A Konow?

Kathyrn A Konow is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 6204.

Where does Kathyrn A Konow practice?

The practice location is 5 Founders St Ste 100, Willimantic, CT 06226-2049. The office can be reached at 864-239-7640 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558095885 directly on the NPPES registry website.

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