Search › Washington › 174400000X
Ketarae Konshuk, LMP
NPI 1992912331 · on the registry since 2007 · sole proprietor
Practice
- Address
- 619 W Hazel St
Mount Vernon, WA 98273 - Phone
- (360) 610-1693
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington