Individual
DR. KEITH DANIEL KNOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20698
MS
207L00000X
Anesthesiology Physician
G87702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00273269
—
MS
05
—
2102397
—
LA
01
—
302I059646
MEDICARE PTAN
MS
01
—
P01250435
RAILROAD MEDICARE
MS
Enumeration date
07/20/2006
Last updated
01/27/2014
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