Individual
KATHERINE L KONCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 E HOLLAND AVE, SUITE 200, SPOKANE, WA 99218-2225
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8328767
—
WA
Enumeration date
08/19/2005
Last updated
04/11/2017
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