Individual
THOMAS CHARLES KNOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2620 WILHITE DR, LEXINGTON, KY 40503-3385
(859) 278-6031
Mailing address
2620 WILHITE DR, LEXINGTON, KY 40503-3385
(859) 278-6031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03084
KY
207RG0100X
Gastroenterology Physician
03084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545250
BLUE CROSS BLUE SHIELD
KY
05
—
7100036950
—
KY
Enumeration date
12/11/2007
Last updated
02/25/2021
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