Individual
TINA KNOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
(606) 723-0680
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7727
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000965
—
KY
Enumeration date
01/12/2006
Last updated
02/07/2014
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