Individual
JONATHAN KENKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56187
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649596370
—
MI
05
—
1649596370
—
MN
05
—
1649596370
—
WI
Enumeration date
04/20/2010
Last updated
10/17/2013
Update your record
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