Individual
KEVIN M KNOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814
(208) 625-4000
Mailing address
2204 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2662
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-880A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RNA-880A
IDAHO LICENSE
ID
Enumeration date
05/06/2008
Last updated
07/17/2018
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