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Individual

MICHELLE LEA KNOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
11610 N 137TH EAST AVE, COLLINSVILLE, OK 74021-3601
(918) 928-4180
(918) 928-4185
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2246
OK

Other

Enumeration date
03/29/2013
Last updated
03/09/2023
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