Individual
DR. SIDNEY A MCKNIGHT, III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 W 75TH ST, PRAIRIE VILLAGE, KS 66208-3505
(913) 649-4978
(913) 649-0926
Mailing address
2200 W 75TH ST, PRAIRIE VILLAGE, KS 66208-3505
(913) 649-4978
(913) 649-0926
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7083
KS
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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