Individual
JESSICA KT KNAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 FAIRMONT ST, WHITEHALL, PA 18052-6015
(610) 432-4122
(612) 432-6677
Mailing address
1401 FAIRMONT ST, WHITEHALL, PA 18052-6015
(610) 432-4122
(612) 432-6677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054267
PA
Other
Enumeration date
01/05/2010
Last updated
04/04/2014
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