Individual
AUBREY LEE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 302, ROANOKE, VA 24014-2462
(540) 981-7653
(540) 981-7469
Mailing address
2001 CRYSTAL SPRING AVE SW, SUITE 302, ROANOKE, VA 24014-2462
(540) 981-7653
(540) 981-7469
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101035672
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D0035281
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4073550-00
—
MD
01
—
MC10074
MEDICARE PTAN
VA
01
—
VV8414A
MEDICARE PTAN
VA
Enumeration date
12/19/2006
Last updated
02/12/2013
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