Individual
KRISTOPHER T. KNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1414 N TAYLOR DR, SUITE 105, SHEBOYGAN, WI 53081-1988
(920) 208-7700
Mailing address
935 N GRANT ST, PORT WASHINGTON, WI 53074-1459
(262) 352-7932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2999
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38625000
—
WI
Enumeration date
09/27/2006
Last updated
08/15/2019
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