Organization
JAMES L KNECHT D.O., INC.
Active
Other names
Jim Knecht D.O., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM KNECHT D.O. (OWNER)
(580) 336-2209
Entity
Organization
Contact information
Practice address
505 N 14TH ST, PERRY, OK 73077-5021
(580) 336-2209
(580) 336-4584
Mailing address
505 N 14TH ST, PERRY, OK 73077-5021
(580) 336-2209
(580) 336-4584
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100500A
—
OK
01
—
37D0719246
CLIA NUMBER
—
Enumeration date
03/12/2008
Last updated
06/03/2008
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