Individual
NATHANIEL C KNACKSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
252 W 9TH ST STE A, HOISINGTON, KS 67544-1700
(620) 653-2386
(620) 653-4186
Mailing address
250 W 9TH ST, HOISINGTON, KS 67544-1706
(620) 653-5067
(620) 653-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-30779
KS
Other
Enumeration date
06/12/2006
Last updated
03/02/2023
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