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Individual
MS. ELIZABETH MAXWELL KNIPPEN
Active
Individual
MS. ELIZABETH MAXWELL KNIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1691
SC
363AM0700X
Medical Physician Assistant
TL1691
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL1691
STATE LICENSE
SC
Enumeration date
10/07/2011
Last updated
04/17/2020
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