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Individual

SHONA DAWN KNIFLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7730 DANNAHER DR, POWELL, TN 37849-4039
(865) 524-7107
(865) 524-3709
Mailing address
7730 DANNAHER DR, POWELL, TN 37849-4039
(865) 524-7107
(865) 524-3709

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1828
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1031975869
MEDICARE ID #
TN
Enumeration date
02/18/2010
Last updated
02/22/2022
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