Individual
JOSEPH K MCCONAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Mailing address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10002244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8325748
—
WA
01
—
L & I
0204648
WA
Enumeration date
07/11/2005
Last updated
10/28/2010
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