Individual
CHELSEA MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3353 N GLOSTER ST, TUPELO, MS 38804-9735
(662) 844-3555
(662) 840-5614
Mailing address
3353 N GLOSTER ST, TUPELO, MS 38804-9735
(662) 844-3555
(662) 840-5614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
927
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
927
MS STATE LICENSE
MS
01
—
94498
TPA
MS
Enumeration date
07/17/2015
Last updated
07/17/2015
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