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Individual

SHIRLEY M KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
637 DUNN RD STE 180, HAZELWOOD, MO 63042-1759
(314) 838-7912
(314) 921-6283
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 838-7912
(314) 921-6283

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6C42
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109461
BLUE CHOICE
MO
01
1200168
UHC
MO
01
171713
HEALTHLINK
MO
01
1957V34311
HEALTHCARE USA
MO
01
24176
BCBS
MO
01
39946
GHP
MO
01
4202179
AENTA
MO
01
A13764
MERCY
MO
Enumeration date
11/07/2005
Last updated
02/21/2019
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