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Individual
COLLEEN D KNOOP
Active
Individual
COLLEEN D KNOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4735P
KY
363LF0000X
Family Nurse Practitioner
AP08497
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388291
ANTHEM
KY
05
—
02105864
—
MS
05
—
2405250
—
LA
Enumeration date
08/23/2006
Last updated
02/24/2016
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