Individual
JEWEL KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMSW
Contact information
Practice address
2201 SUMMERLON CIR, DODGE CITY, KS 67801-2985
(316) 641-8678
Mailing address
2201 SUMMERLON CIR, DODGE CITY, KS 67801-2985
(316) 641-8678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13185
KS
164W00000X
Licensed Practical Nurse
23-23184-092
KS
Other
Enumeration date
04/03/2023
Last updated
06/20/2023
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