# ADVANTAGE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922060128
- **Authorized official:** DR. DOUGLAS KNOX M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (785) 749-0130

## Contact information

- **Practice address:** 1104 E 23RD ST, LAWRENCE, KS 66046-5004
- **Practice address phone:** (785) 749-0130
- **Practice address fax:** (785) 749-0132
- **Mailing address:** 1104 E 23RD ST, LAWRENCE, KS 66046-5004
- **Mailing address phone:** (785) 749-0130
- **Mailing address fax:** (785) 749-0132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | BRA0103693 | KS | — |
| 208D00000X | General Practice Physician | 0428304 | KS | — |
| 208D00000X | General Practice Physician | 17903 | KS | — |
| 208D00000X | General Practice Physician | 424928 | KS | Yes |
| 208D00000X | General Practice Physician | 430567 | KS | — |
| 367A00000X | Advanced Practice Midwife | 64063 | KS | — |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 11/01/2013