Individual
KYLA K KNIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 MARY ST STE 230, EVANSVILLE, IN 47710-1678
(812) 464-9133
(812) 464-0559
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 464-9133
(812) 464-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002568A
IN
363AS0400X
Surgical Physician Assistant
10002568A
IN
Other
Enumeration date
08/14/2018
Last updated
03/03/2022
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