Individual
HENRY FONTRI KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
6101 NW RADIAL HWY, OMAHA, NE 68104-3353
(402) 510-5801
Mailing address
3612 CUMING ST, OMAHA, NE 68131-1900
(402) 312-5881
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-172
NE
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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