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Organization
KARL R KNUDSEN MD PC
Active
Organization
KARL R KNUDSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE GANSBERG (EXECUTIVE DIRECTOR)
(541) 274-2902
Entity
Organization
Contact information
Practice address
2200 BRYANT WILLIAMS DR, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 884-0848
Mailing address
2200 BRYANT WILLIAMS DR, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 884-0848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD227448
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD27448
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297233
—
OR
01
—
DH2111
RAIL ROAD MEDICARE
OR
Enumeration date
03/18/2008
Last updated
11/14/2017
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