# JAMES L KNECHT D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jim Knecht D.O., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871764373
- **Authorized official:** DR. JIM KNECHT D.O. (OWNER)
- **Authorized official phone:** (580) 336-2209

## Contact information

- **Practice address:** 505 N 14TH ST, PERRY, OK 73077-5021
- **Practice address phone:** (580) 336-2209
- **Practice address fax:** (580) 336-4584
- **Mailing address:** 505 N 14TH ST, PERRY, OK 73077-5021
- **Mailing address phone:** (580) 336-2209
- **Mailing address fax:** (580) 336-4584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 2238 | OK | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100100500A | — | OK |
| 01 | — | 37D0719246 | CLIA NUMBER | — |