Female

Whitney R. Kononchuk

Community Health Worker in Burton, MI(View on Map)

Full Name

Whitney Rayne Kononchuk

NPI Number

1609502194

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/27/2022

Specialties

(Taxonomies)

Code

172V00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1173 S PACKARD AVE
1173 S PACKARD AVE

City

Burton
Burton

State

MI
MI

Postal Code

48509-2311
48509-2311

Country

US
US

Telephone Number

(810) 743-1007
(810) 743-1007

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/27/2022

Provider Address

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