Individual
CHRISTY LYNN KNAPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7977 SHAKER CT, FORT WAYNE, IN 46804-5710
(260) 615-1312
Mailing address
7977 SHAKER CT, FORT WAYNE, IN 46804-5710
(260) 615-1312
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450-07-5322
DRIVER LICENSE
IN
Enumeration date
06/26/2022
Last updated
06/26/2022
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