Individual
MRS. EDITH KONESNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
150 MAIN ROAD, ISLESBORO, ME 04848-0137
(207) 734-2213
(207) 734-8392
Mailing address
9 FAHEY ST, BELFAST, ME 04915-6028
(207) 338-1120
(207) 338-9784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-191
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288030099
—
ME
Enumeration date
10/06/2006
Last updated
11/04/2016
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