Individual
KATHYRN AMANDA KONOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 FOUNDERS ST STE 100, WILLIMANTIC, CT 06226-2049
(864) 239-7640
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6204
CT
Other
Enumeration date
07/12/2022
Last updated
08/15/2023
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