Konneen Willis is a Medical in Bountiful, Utah. Konneen Willis practices all healthcare services and medical treatments related to Medical. The NPI Number for Konneen Willis is 1861510240. The last update date is 2021-02-25.
Konneen Willis's current location address is 1551 Renaissance Towne Dr, Bountiful, Utah. You can contact this provider via phone number 8014087660 and fax number 8014087650. The mailing address for Konneen Willis is 1551 Renaissance Towne Dr, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Konneen Willis |
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Address | 1551 Renaissance Towne Dr, Bountiful, Utah |
Phone Number | 8014087660 |
Fax Number | 8014087650 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1861510240 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2021-02-25 |
Provider Mailing Address Detail
Address | 1551 Renaissance Towne Dr |
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City | Bountiful |
State | Utah (UT) |
Post Code | 840107678 |
Phone Number | 8014087660 |
Fax Number | 8014087650 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 107354-1206 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1861510240 | UT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Konneen Willis by the Centers for Medicare & Medicaid Services?
The Konneen Willis has been issued the NPI (National Provider Identifier) 1861510240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Konneen Willis is physically located?
The Konneen Willis is physically situated at the following address: 1551 Renaissance Towne Dr, Bountiful, UT, 840107678.
What is Konneen Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Konneen Willis's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did the Konneen Willis receive its 1861510240?
The Konneen Willis was issued its 1861510240 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Konneen Willis last refreshed?
The information related to the Konneen Willis, including its address, specialty, and other relevant details, was last updated on 2021-02-25.
NPI Number: 1720081763
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