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Individual

MR. ANTONIO W MCKNIGHT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
502 STONE SHADOW DR, BLACKLICK, OH 43004-7165
(614) 736-5080
Mailing address
502 STONE SHADOW DR, BLACKLICK, OH 43004-7165
(614) 736-5080

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RT692942
OH
3747A0650X
Attendant Care Provider
OH
3747P1801X
Personal Care Attendant
OH
374U00000X
Home Health Aide
OH

Other

Enumeration date
11/14/2023
Last updated
12/20/2025
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