Individual
PAIGE KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UTAH ST, HIAWATHA, KS 66434-2326
(785) 742-2123
Mailing address
1214 MULBERRY RD, HORTON, KS 66439-8726
(816) 262-6960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
142653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289118
PTAN
KS
05
—
10028496800
—
NE
05
—
30004979510001
—
KS
05
—
910155507
—
MO
Enumeration date
05/26/2023
Last updated
03/12/2026
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