Individual
JEFF KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 PENN AVE, PITTSBURGH, PA 15224-1326
(412) 864-9314
Mailing address
112 WEAVER DR, GLENSHAW, PA 15116-1423
(412) 352-6943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008217
PA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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