KETARAE ANN KONSHUK LMP
NPI 1992912331
Specialist in Mount Vernon, WA

Q: What is Ketarae Konshuk's NPI number?

The NPI number for Ketarae Konshuk is 1992912331. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Ketarae Konshuk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Ketarae Konshuk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2007

619 W HAZEL ST, MOUNT VERNON, WA 98273(360) 610-1693 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ketarae Ann Konshuk Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETARAE ANN KONSHUK LMP (NPI 1992912331) is an individual specialist in Mount Vernon, Washington, licensed in Washington (MA-19764) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1992912331

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKETARAE ANN KONSHUKCredential: LMP

Location Address619 W HAZEL STMount Vernon, WA 98273-4827

Mailing Address619 West HazelMount Vernon, WA 98273 · (360) 610-1693

Phone(360) 610-1693

Sole ProprietorYes

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992912331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MA-19764

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

619 W HAZEL ST, Mount Vernon, WA 98273

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketarae Konshuk's NPI number?

The NPI number for Ketarae Konshuk is 1992912331. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Ketarae Konshuk located?

Ketarae Konshuk practices at 619 W Hazel St, Mount Vernon, WA 98273. The listed phone number is (360) 610-1693.

What is Ketarae Konshuk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ketarae Konshuk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.