Individual
DR. JAMES LEE KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
505 N 14TH ST, PERRY, OK 73077-5021
(580) 336-2209
(580) 336-4584
Mailing address
505 N 14TH ST, PERRY, OK 73077-5021
(580) 336-2209
(580) 336-4584
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010028289
MEDICARE-RAILROAD
—
05
—
100100500A
—
OK
01
—
731173034
TRICARE
—
01
—
731173034001
BC/BS OF OKLAHOMA
—
01
—
896329
AETNA
OK
Enumeration date
02/15/2006
Last updated
07/09/2008
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