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Individual

NATALEE NICOLE KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4919
Mailing address
820 NW 139TH ST, EDMOND, OK 73013-1955
(405) 755-8047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA701
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1600701
OK
01
PA701
LICENSE NUMBER
OH
Enumeration date
08/16/2006
Last updated
03/07/2023
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