Individual
KATHRYN A. KNODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2806 HILLCREEK DR, AUGUSTA, GA 30909-6484
(706) 863-0200
Mailing address
2806 HILLCREEK DR, AUGUSTA, GA 30909-6484
(706) 863-0200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20188
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801007000
—
WV
05
—
21823474
—
OH
01
—
55-0676749
FEDERAL TAX ID
—
05
—
64030570
—
KY
Enumeration date
02/23/2007
Last updated
02/05/2013
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