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Individual

DR. MELVIN JAY KNIGHT

Active
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Individual

DR. MELVIN JAY KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3641
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427283860
CLINIC TAX NPI
NV
05
—
2016810
—
NV
01
—
94-1196203
CLINIC TAX ID
NV
01
—
CC163A
CLINIC PTAN
NV
01
—
CC171Z
MEDICARE PTAN
NV
Enumeration date
01/17/2006
Last updated
10/19/2009
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