Individual
SARAH A KONECNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 KIMBALL DR STE 201, GIG HARBOR, WA 98335-1228
(253) 853-8810
(253) 853-8820
Mailing address
6401 KIMBALL DR STE 201, GIG HARBOR, WA 98335-1228
(253) 853-8810
(253) 853-8820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60825906
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60825906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096542
—
WA
01
—
591423
LABOR & INDUSTRIES
WA
Enumeration date
01/10/2018
Last updated
09/27/2024
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