Individual
MRS. KATHARINE AMANDA KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5173
(317) 221-8300
Mailing address
640 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004021A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004021A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
04/30/2020
Last updated
12/06/2023
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