Individual
MICHAEL LANDERS KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 102, PADUCAH, KY 42003-3814
(270) 442-3539
(270) 442-2051
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
TP607
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100208550
—
KY
Enumeration date
06/06/2007
Last updated
12/10/2020
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