MS. Konneen Willis, PA
MS. Konneen Willis, PA is a Physician Assistant in Bountiful, Utah. Qualified in 2004, 22 years ago. Practices with Canyon Ridge Pain and Spine PC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 22
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1551 Renaissance Towne Dr Ste 460Bountiful, UT 84010-7667
Phone: (801) 294-7246
Fax: (801) 294-2560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 107354-1206 (UT) |
|---|
Record details
| NPI number | 1861510240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Canyon Ridge Pain And Spine Pc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bountiful
-
Emily Peck, PA
425 Medical Dr Ste 205, Bountiful, UT 84010-4945 · (801) 298-3812
-
Mrs. Hailey Poppe, PA-C
390 N Main St, Bountiful, UT 84010-6046 · (801) 294-1000
-
David Elden Schow, PA-C
440 Medical Dr, Bountiful, UT 84010-4950 · (801) 298-9100
-
Mr. Sean L. Webster Pa-C, PA-C
557 W 2600 S, Bountiful, UT 84010-7717 · (801) 298-9155
-
Melissa Yamashiro, PA
620 Medical Dr Ste 205, Bountiful, UT 84010-5084 · (801) 298-0057