Individual
DR. MARTHA ANN KNIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST, STE.303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01065560A
IN
207Q00000X
Family Medicine Physician
Primary
41487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200906100
—
IN
01
—
K080360
MEDICARE PTAN- NORTON INP.SPEC.
KY
Enumeration date
01/14/2008
Last updated
09/17/2021
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