Individual
KIM EDWARD KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-050745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0591640
—
OH
01
—
34147527500
WORKERS COMPENSATION
—
01
—
A15995
UPIN
OH
Enumeration date
04/05/2006
Last updated
09/13/2011
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