Individual
LINDA KAY KNEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-7010
(505) 358-7011
Mailing address
PO BOX160, SHIPROCK, NM 87420
(505) 368-7010
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35053932K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16889274
—
CO
05
—
81001231
—
NM
05
—
852683
—
AZ
Enumeration date
12/05/2005
Last updated
03/12/2009
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