Individual
DR. FREDRICK WILLIUS KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SUITE 5-A, SHREVEPORT, LA 71103-3920
(318) 212-6688
(318) 212-6682
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 5-A, SHREVEPORT, LA 71103-3920
(318) 212-6688
(318) 212-6682
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD.015573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1908649
—
LA
Enumeration date
02/07/2007
Last updated
06/24/2021
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