Individual
KRISTEN KNIGHT FILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2932
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3692PA
—
SC
01
—
SCD3907628
MEDICARE PIN
SC
Enumeration date
07/11/2018
Last updated
12/30/2020
Update your record
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