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Ms. Konneen Willis, PA
Medical Physician Assistant in Bountiful, Utah
NPI 1861510240

Konneen Willis is a Medical Physician Assistant based in Bountiful, UT and is specialized in Medical. Konneen Willis practices in Bountiful, UT and has the professional credentials of PA. The NPI Number for Konneen Willis is 1861510240 and holds a License No. 107354-1206 (Utah).

The current practice location address for Konneen Willis is 1551 Renaissance Towne Dr, Bountiful, UT and can be reached out via phone at 801-294-7246 and via fax at 801-294-2560.

Location: 1551 Renaissance Towne Dr, Bountiful, UT, 84010-7678
person
Provider Profile Details
NPI Number
1861510240
Provider Name
Konneen Willis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1551 Renaissance Towne Dr, Bountiful, UT, 84010-7678
Phone Number
801-294-7246
Fax Number
801-294-2560
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861510240 05 UT
institution
Provider Business Practice Location Address Details
Address
1551 Renaissance Towne Dr
City
State
Zip
84010-7667
Phone Number
801-294-7246
Fax Number
801-294-2560
person
Provider Business Mailing Address Details
Address
1551 Renaissance Towne Dr
City
State
Zip
84010-7667
Phone Number
801-294-7246
Fax Number
801-294-2560
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
107354-1206 (Utah)
Definition
Definition to come...
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