Individual
KERRY M KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4741 N. ALDEA RD. WEST, LITCHFIELD PARK, AZ 85340
(623) 474-2450
(623) 474-2450
Mailing address
5115 N DYSART RD, SUITE 202 #147, LITCHFIELD PARK, AZ 85340-3032
(623) 474-2450
(623) 474-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988462
—
AZ
Enumeration date
07/30/2006
Last updated
08/03/2015
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