Individual
CYNTHIA L KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
135 W RAVINE RD, STE 5B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
PO BOX 1308, KINGSPORT, TN 37662-1308
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
01
—
118592
ANTHEM BCBS
—
01
—
314811
BLUE CROSS BLUE SHIELD OF
TN
05
—
3628973
—
TN
05
—
74001645
—
KY
05
—
8901180
—
VA
01
—
TN0100
JOHN DEER
—
Enumeration date
10/04/2005
Last updated
07/08/2007
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