Individual
KENDAL CHARLES KNAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1223
Mailing address
PO BOX 1064, ALAMOSA, CO 81101-1064
(719) 587-1223
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18175
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181759
—
CO
05
—
01731866 0R 01181759
—
CO
Enumeration date
06/27/2005
Last updated
04/03/2012
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