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Individual
KATHERYN KNUTSON
Active
Individual
KATHERYN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3657
FL
363AS0400X
Surgical Physician Assistant
PA0003657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239084
UNIVERSAL HEALTHCARE
FL
01
—
250699
AVMED
FL
05
—
290439000
—
FL
01
—
9081147
CIGNA
FL
01
—
9135706
AETNA
FL
01
—
P00940418
RAILROAD MCR
FL
01
—
P01753553
RR MEDICARE
FL
01
—
P01806155
CLEAR HEALTH
FL
01
—
P113815
FREEDOM HEALTH
FL
01
—
P933593
OPTIMUM
FL
01
—
Y06VS
BCBS FL
FL
Enumeration date
02/27/2006
Last updated
03/29/2021
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