Konchalski, Katherine

Konchalski, Katherine is an individual health care provider with primary practice located at 200 Patewood Dr Ste A200 , Greenville SC 29615-3580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Konchalski, Katherine can be contacted via phone (864) 454-5115.

Contact Information

Primary practice address
200 Patewood Dr Ste A200 Greenville SC 29615-3580
Phone: (864) 454-5115
Fax: (864) 454-5111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 19064 South Carolina

Profile Details

NPI number 1508268947
LBN Legal business name Konchalski, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Jun 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508268947 NPPES
South Carolina MEDICAID NP2958

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