Individual
MRS. AMANDA LYNN KNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSDH, RDH, CST
Contact information
Practice address
4010 1ST DIVISION RD, FORT RILEY, KS 66442
(785) 239-4174
Mailing address
15450 JEFFREY CIR, WAMEGO, KS 66547-7042
(803) 465-0602
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12295
KS
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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