Individual
JULIE V KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 436-4658
(937) 436-4984
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35076141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476390
BLUE SHIELD
OH
05
—
2323060
—
OH
Enumeration date
07/25/2006
Last updated
05/05/2020
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