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Individual

MR. TIMOTHY E KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3622 BELMONT AVE, STE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Mailing address
3622 BELMONT AVE, STE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
080364
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-10271
OH
367500000X
Certified Registered Nurse Anesthetist
RN-277085
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11943861
CAQH
OH
05
2890117
OH
Enumeration date
09/23/2008
Last updated
03/11/2011
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