Individual
KEVIN EUGENE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1497 LAFAYETTE PKWY, LAGRANGE, GA 30241-2552
(706) 880-7335
Mailing address
1497 LAFAYETTE PKWY, LAGRANGE, GA 30241-2552
(706) 880-7335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170600
GA
Other
Enumeration date
11/15/2016
Last updated
03/01/2017
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