Individual
COURTNEY A KNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
503 MCMILLAN ST, HOLDREGE, NE 68949-2052
(308) 995-8697
(908) 995-6931
Mailing address
74174 US HIGHWAY 183, HOLDREGE, NE 68949-4052
(619) 252-8570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1356
NE
152W00000X
Optometrist
Primary
14107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47061665413
—
NE
Enumeration date
07/21/2011
Last updated
10/17/2012
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