Individual
KEVIN M. MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SALTER PATH RD # UNITSAB, PINE KNOLL SHORES, NC 28512-6135
(252) 773-0068
(252) 773-0110
Mailing address
PO BOX 966, ATLANTIC BEACH, NC 28512-0966
(252) 723-1369
(252) 773-0110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38137
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
38137
NC
207RR0500X
Rheumatology Physician
Primary
38137
NC
208100000X
Physical Medicine & Rehabilitation Physician
38137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598773343
—
NC
01
—
57265
BC BS
NC
Enumeration date
08/04/2006
Last updated
05/01/2020
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