Individual
KATIE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 POPLAR ST, WYANDOTTE, MI 48192-4327
(734) 560-6928
Mailing address
458 POPLAR ST, WYANDOTTE, MI 48192-4327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704270966
MI
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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