Individual
MARY CHRISTINE KNEPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1965 OLD MOULTRIE RD, SAINT AUGUSTINE, FL 32086-5164
(904) 484-4599
Mailing address
624 FRANCES AVE, ST AUGUSTINE, FL 32086-5479
(904) 484-4599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM18553
FL
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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