Individual
DR. DANIEL R KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2533 BERT KOUNS INDUSTRIAL LOOP STE 106, SHREVEPORT, LA 71118-3158
(318) 716-1705
(318) 716-1709
Mailing address
PO BOX 53316, SHREVEPORT, LA 71135-3316
(318) 716-1705
(318) 716-1709
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
017152
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1915963
—
LA
Enumeration date
06/09/2005
Last updated
11/14/2019
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