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Individual

TATIANA MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8024
(717) 531-0882
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA006442
MD
363A00000X
Physician Assistant
OA006442
PA
363AM0700X
Medical Physician Assistant
Primary
MA064444
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA064444
STATE LICENSE
PA
01
OA006442
STATE LICENSE
PA
Enumeration date
10/04/2022
Last updated
01/13/2026
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