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Individual

KRISTINE A KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1419 W BELLA DR, MARION, IN 46953-5250
(765) 660-7580
(765) 671-3508
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01054610A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000902263
ANTHEM
IN
05
200337850
IN
Enumeration date
07/05/2006
Last updated
10/19/2020
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